Empirical Wellness Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

EMPIRICAL WELLNESS CENTER

Doing business as

Empirical Wellness Center

Practice address

3729 S Church St Ste 102
Burlington, NC 27215-0050

Phone

(336) 266-0334

NPI assigned

Dec 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Crystal Michelle King, NP-CNPI 1417262023

Title

Member

Phone

(336) 266-0334

Specialties & licenses 1

Addresses

Other names 2

• Empirical Wellness Center Doing business as
• Empirical Wellness Center, PLLC Former legal business name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: cking@ewc.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal M King, ANP-C

  • Adult Health Nurse Practitioner
  • Burlington, NC
  • NPI 1417262023
  Medicare reassignment NPD Authorized official
• Kourtney Jevon Royster

  • Mental Health Counselor
  • Burlington, NC
  • NPI 1093563108
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1053022988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 VAUGHN RD STE H",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172919",
            "telephone_number": "336-567-4033",
            "fax_number": "800-418-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3729 S CHURCH ST STE 102",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272150050",
            "telephone_number": "336-266-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPIRICAL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-266-0334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cking@EWC.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3729 S Church St Ste 102",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272150050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cking@EWC.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3729 S Church St Ste 102",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272150050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@empiricalwc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1610 Vaughn Rd Ste H",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272172919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Empirical Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Empirical Wellness Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.