Intentionally Well, LLC
NPI 1922426402 · Family Nurse Practitioner · Port St Lucie, FL
Intentionally Well, LLC is a Family Nurse Practitioner organization in Port St Lucie, FL (NPI 1922426402).
Provider details
- NPI number
- 1922426402
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Theresa Pinder, Sole Member, Ceo(772) 215-9946
- License
- ME69414 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 3716 Sw Moore StPalm City, FL 34990-5647Phone: (772) 215-9946
Registry dates
- Enumerated
- 2014-04-02
- Last updated
- 2024-07-19
- Certified
- 2024-07-19
Frequently asked questions
- What is Intentionally Well, LLC's NPI number?
- Intentionally Well, LLC's National Provider Identifier (NPI) is 1922426402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intentionally Well, LLC?
- Intentionally Well, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Intentionally Well, LLC located?
- Intentionally Well, LLC's practice location on file with NPPES is 2100 Se Hillmoor Dr Ste 101, Port St Lucie, FL 34952-8057.
- What is Intentionally Well, LLC's phone number?
- The practice phone number listed in the NPPES registry for Intentionally Well, LLC is (772) 877-2311.
- Who is the authorized official for Intentionally Well, LLC?
- The authorized official listed on Intentionally Well, LLC's NPPES record is Theresa Pinder, Sole Member, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intentionally Well, LLC's NPI active?
- Yes — Intentionally Well, LLC's NPI (1922426402) is active in the NPPES registry as of the last update on 2024-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.