OrganizationActive
Pure Wellness & Aesthetics, LLC
NPI 1619632643 · Family Nurse Practitioner · Winter Haven, FL
Provider details
- NPI number
- 1619632643
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nacresha Richardson, Owner/Ceo(863) 288-1709
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
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
733 Terranova Ave
Winter Haven, FL 33884-3411
Phone: (863) 221-5566
Street-level locationGet directions
Mailing address
Po Box 1435
Winter Haven, FL 33882-1435
Registry dates
- Enumerated
- 2021-11-04
- Last updated
- 2022-04-13
- Certified
- 2022-04-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.