Ketamine Wellness Institute of Jacksonville Beach, LLC
NPI 1487471918 · Interventional Pain Medicine Physician · Jacksonville Beach, FL
Ketamine Wellness Institute of Jacksonville Beach, LLC is a Interventional Pain Medicine Physician organization in Jacksonville Beach, FL (NPI 1487471918).
Provider details
- NPI number
- 1487471918
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sathavaram Reddy, Owner(904) 373-8153
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- 2024-09-25
- Last updated
- 2024-09-25
- Certified
- 2024-09-25
Frequently asked questions
- What is Ketamine Wellness Institute of Jacksonville Beach, LLC's NPI number?
- Ketamine Wellness Institute of Jacksonville Beach, LLC's National Provider Identifier (NPI) is 1487471918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Wellness Institute of Jacksonville Beach, LLC?
- Ketamine Wellness Institute of Jacksonville Beach, LLC is classified in the NPPES registry as Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketamine Wellness Institute of Jacksonville Beach, LLC located?
- Ketamine Wellness Institute of Jacksonville Beach, LLC's practice location on file with NPPES is 1361 13th Ave S Ste 140, Jacksonville Beach, FL 32250-3263.
- What is Ketamine Wellness Institute of Jacksonville Beach, LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Wellness Institute of Jacksonville Beach, LLC is (904) 373-8153.
- Who is the authorized official for Ketamine Wellness Institute of Jacksonville Beach, LLC?
- The authorized official listed on Ketamine Wellness Institute of Jacksonville Beach, LLC's NPPES record is Sathavaram Reddy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Wellness Institute of Jacksonville Beach, LLC's NPI active?
- Yes — Ketamine Wellness Institute of Jacksonville Beach, LLC's NPI (1487471918) is active in the NPPES registry as of the last update on 2024-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.