Bluhaven Health PA

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BLUHAVEN HEALTH PA

Practice address

4109 Wake Forest Rd Ste 220
Raleigh, NC 27609-2510

Phone

(984) 370-2350

Fax

(984) 370-2352

NPI assigned

Jun 7, 2024

Organization subpart

No

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

Authorized official

Name

Charlie Frye

Title

Director

Phone

(984) 370-2350

Specialties & licenses 3

Addresses

Other names 1

• BluHaven Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Kimberly Ellis Barron, NP

  • Nurse Practitioner
  • High Point, NC
  • NPI 1366277667
  Medicare reassignment Care Compare group NPD
• Kristina M Ostby, APRN, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
  • NPI 1295504876
  Medicare reassignment Care Compare group NPD
• Susan Lovelle-Allen, MD

  • Integrative Medicine Physician
  • Raleigh, NC
  • NPI 1134222672
  Medicare reassignment NPD
• Robert E Taylor, M.D.

  • Otolaryngology Physician
  • Durham, NC
  • NPI 1831143619
  Medicare reassignment NPD

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1083456446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 WAKE FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092510",
            "telephone_number": "984-370-2350",
            "fax_number": "984-370-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 WAKE FOREST RD STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092510",
            "telephone_number": "984-370-2350",
            "fax_number": "984-370-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUHAVEN HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "984-370-2350"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BluHaven Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BluHaven Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharhonda Barrow Blue, MA,LPC
• Traci Chevonn Blue, LPC
• Bluecross Home Care & Health Services Inc
• Ashley A Bluemel, PHARMD
• Blueridge OB/GYN Associates
• Abby Blume
• Felix Blumhardt
• Danielle Blymyer, MSW, LCSWA
• Bmi Wellness Concepts, PLLC
• BMW Counseling and Consulting Group

• Multi-Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.