=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184570988
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIMPLICITY HEALTH AND WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2026
-----------------------------------------------------
Last Update Date | 03/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 103 NE 4TH ST
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33444-3826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-234-4550
-----------------------------------------------------
Fax | 561-234-4551
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 103 NE 4TH ST
-----------------------------------------------------
City | DELRAY BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33444-3826
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 561-234-4550
-----------------------------------------------------
Fax | 561-234-4551
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF OPERATING OFFICER
-----------------------------------------------------
Name | VANESSA RAYMOND
-----------------------------------------------------
Credential | NP
-----------------------------------------------------
Telephone | 561-234-4550
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------