Intentionally Well, LLC
NPI 1922426402ActiveOrganization· Nurse Practitioner, Family· Port St Lucie, FL
Nurse Practitioner, Family in Port St Lucie, Florida, registered in NPPES in April 2014. The authorized official on file is Theresa Anne Pinder, APN, Sole Member, Ceo.
Overview
| NPI | 1922426402 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2014 |
| Last updated in NPPES | Jul 19, 2024 |
| Certified by provider | Jul 19, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 1476272 | FL |
| Family Medicine | 207Q00000X | ME69414 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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