OrganizationActive
Energized Health and Wellbeing, LLC
NPI 1205428828 · Primary Care Clinic/Center · St Augustine, FL
Provider details
- NPI number
- 1205428828
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Spies, Owner(904) 429-1290
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
154 San Marco Ave
St Augustine, FL 32084-3267
Phone: (904) 429-1290
Fax: (904) 429-1558
Street-level locationGet directions
Mailing address
154 San Marco Ave
St Augustine, FL 32084-3267
Registry dates
- Enumerated
- 2021-02-04
- Last updated
- 2021-02-04
- Certified
- 2021-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.