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Intentionally Well, LLC

Family Nurse Practitioner in Port St Lucie, FL · enumerated 2014 · authorized official Theresa Pinder, Sole Member, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1922426402

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Registry record

Entity type Organization (Type 2)
Legal business name Intentionally Well, LLC
Practice address 2100 Se Hillmoor Dr Ste 101, Port St Lucie, FL, 34952
Phone (772) 877-2311
Fax (772) 249-0638
Enumeration date Apr 2, 2014
Last updated in NPPES Jul 19, 2024

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME69414 (FL) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 1476272 (FL) Primary

Authorized official

Name Theresa Pinder
Title Sole Member, Ceo
Phone (772) 215-9946

Other identifiers

Identifier Type State Issuer
1912256538 Other - NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Intentionally Well, LLC?
The NPI for Intentionally Well, LLC is 1922426402, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Intentionally Well, LLC?
NPPES lists Theresa Pinder (Sole Member, Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-19.