Seadipity Wellness LLC
NPI 1336803642 · Primary Care Nurse Practitioner · Fernandina Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Seadipity Wellness LLC is a Primary Care Nurse Practitioner organization in Fernandina Beach, FL (NPI 1336803642).
Provider details
- NPI number
- 1336803642
- Entity type
- Organization
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angela O'Donnell, Aprn(904) 452-4790
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
- Women's Health Nurse Practitioner363LW0102X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-10-25
- Last updated
- 2022-07-18
- Certified
- 2022-07-18
Frequently asked questions
- What is Seadipity Wellness LLC's NPI number?
- Seadipity Wellness LLC's National Provider Identifier (NPI) is 1336803642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Seadipity Wellness LLC?
- Seadipity Wellness LLC is classified in the NPPES registry as Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Seadipity Wellness LLC located?
- Seadipity Wellness LLC's practice location on file with NPPES is 22455 Flora Parke Xing, Fernandina Beach, FL 32034-8000.
- What is Seadipity Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Seadipity Wellness LLC is (904) 452-4790.
- Does Seadipity Wellness LLC accept Medicare?
- Seadipity Wellness LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Seadipity Wellness LLC?
- The authorized official listed on Seadipity Wellness LLC's NPPES record is Angela O'Donnell, Aprn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Seadipity Wellness LLC's NPI active?
- Yes — Seadipity Wellness LLC's NPI (1336803642) is active in the NPPES registry as of the last update on 2022-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.