Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vista Wellness, LLC

Organization Nurse Practitioner · NPI 1346121951

Vista Wellness, LLC is a Nurse Practitioner in St Augustine, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

305 Kingsley Lake Dr Ste 703
St Augustine, FL 32092-3045
Phone: (904) 800-4003
Fax: (904) 800-5003
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1346121951
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bisona Bennett — President · (904) 800-4003
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address305 Kingsley Lake Dr Ste 703, St Augustine, FL 32092-3045

Other providers in St Augustine