Wellness Rediscovered P.L.L.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WELLNESS REDISCOVERED P.L.L.C.

Practice address

705 E Main Ave
Bismarck, ND 58501-4525

Phone

(701) 269-9455

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Laura Hoovestol, NURSE PRACTITIONER

Title

DNP, Aprn, FNP-C/Owner

Phone

(701) 805-0870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 1

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

• Cynthia Lynn Wald, DNP-C, FNP-C

  • Family Nurse Practitioner
  • Bismarck, ND
  • NPI 1912498593
  Medicare reassignment NPD

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1053060004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585014525",
            "telephone_number": "701-269-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS REDISCOVERED P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-08-24",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "HOOVESTOL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "DNP, APRN, FNP-C/OWNER",
        "authorized_official_telephone_number": "701-805-0870",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey David Welk, DPT
• John Michael Welk, D.D.S., M.S.
• Megan Michelle Welk, DDS, MS
• Thomas Paul Welk, DDS
• Wellness Dimensions PC
• Wellness Way Bismarck LLC
• Alicia Marie Wells, MS, LAT, ATC
• Domninck Wells
• Kristen Welsh
• Melanie Wentz

• Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.