Diabetes Wellness NP, PLLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

DIABETES WELLNESS NP, PLLC

Practice address

700 N Missouri St Ste 2
West Memphis, AR 72301-3150

Phone

(870) 551-4409

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Nykkia Sellers, NURSE PRACTITIONERNPI 1134316250

Title

President/Owner

Phone

(901) 249-0755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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.

• Nykkia N Sellers, APN

  • Family Nurse Practitioner
  • West Memphis, AR
  • NPI 1134316250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1083296057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N MISSOURI ST STE 2",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "901-249-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MISSOURI ST STE 2",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013150",
            "telephone_number": "870-551-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES WELLNESS NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "NYKKIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "901-249-0755",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patricia A Devine, LCSW
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• Community Health Clinic/Center in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Community Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.