Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1033856307
Invigoration Health Corp
Organization Subpart: NO
Active
NPI Number1033856307
NPI TypeNPI-2 Organization
SpecialtyNurse Practitioner, Psych/Mental Health
Provider Details
NPI1033856307
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2022-05-17
Last Updated2022-11-22
Authorized OfficialStacy Wideman
CEO/Owner
Phone: 6782354853
Mailing Address370 Holdings Dr
Lawrenceville, GA 30044-5581
United States
📍 View Map
Primary Practice Address8450 Nw 102nd Ave
Doral, FL 33178-4750
United States
Phone: (360) 643-6562
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LP0808X – Nurse Practitioner, Psych/Mental Health--
Export Provider Record NPI 1033856307
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1033856307

Invigoration Health Corp is an organization registered in the CMS NPPES NPI Registry with NPI number 1033856307. The primary specialty listed is Nurse Practitioner, Psych/Mental Health. The organization is located in Doral, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2022-05-17. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1033856307?

NPI 1033856307 belongs to Invigoration Health Corp, a Nurse Practitioner, Psych/Mental Health in Doral, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1033856307 active?

The current status of NPI 1033856307 in the NPPES registry is Active. The record was last updated on 2022-11-22.

What specialty is NPI 1033856307?

NPI 1033856307 is classified under the taxonomy Nurse Practitioner, Psych/Mental Health. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1033856307?

You can verify NPI 1033856307 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1033856307?

The primary practice address on file for NPI 1033856307 is 8450 Nw 102nd Ave, Doral, FL 33178-4750. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1033856307 issued?

NPI 1033856307 was first issued (enumerated) on 2022-05-17. The NPPES record was last updated on 2022-11-22.

Practice Location Map

Invigoration Health Corp is located at 8450 Nw 102nd Ave, Doral, FL. Use the map below to find directions or verify the practice location.

📍 8450 Nw 102nd Ave, Doral, FL 33178-4750  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Invigoration Health Corp. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-27 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162