Kittrell Job Corps Center Wellness

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KITTRELL JOB CORPS CENTER WELLNESS

Practice address

1096 US Highway 1 S
Kittrell, NC 27544-9385

Phone

(252) 438-9149

Fax

(252) 438-9189

NPI assigned

Sep 23, 2024

Organization subpart

No

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

Authorized official

Name

Rebecca Miller, RN

Title

Practice Manager/ Wellness Director

Phone

(252) 438-9132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1114744182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 US HIGHWAY 1 S",
            "city": "KITTRELL",
            "state": "NC",
            "postal_code": "275449385",
            "telephone_number": "252-438-9149",
            "fax_number": "252-438-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 US HIGHWAY 1 S",
            "city": "KITTRELL",
            "state": "NC",
            "postal_code": "275449385",
            "telephone_number": "252-438-9149",
            "fax_number": "252-438-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITTRELL JOB CORPS CENTER WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER/ WELLNESS DIRECTOR",
        "authorized_official_telephone_number": "252-438-9132",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NC Drug Consultants & Screening Group,LLC
• Joseph T. Tartamella, MSW, LCSW
• Wellness Institute for Community Living

• Clinic/Center in Kittrell, NC
• Providers in Kittrell, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.