Organization Active NPI

Wellness Community Nursing LLC

  • Community Health Registered Nurse
  • Newberg, OR
National Provider Identifier
1053129635
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
WELLNESS COMMUNITY NURSING LLC
Practice address
619 N Oak Hollow Dr
Newberg, OR 97132-7475
Phone
(971) 227-0028
NPI assigned
Dec 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Authorized official

Name
Jemimah Manzano BrooksNPI 1770306672
Title
RN
Phone
(971) 227-0028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X Primary

Addresses

Primary practice location

619 N Oak Hollow Dr
Newberg, OR 97132-7475

Mailing address

619 N Oak Hollow Dr
Newberg, OR 97132-7475
Phone (971) 227-0028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1053129635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 N OAK HOLLOW DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327475",
            "telephone_number": "971-227-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N OAK HOLLOW DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327475",
            "telephone_number": "971-227-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS COMMUNITY NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JEMIMAH",
        "authorized_official_middle_name": "MANZANO",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "971-227-0028"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.