Organization Active NPI

Edyn Wellness, PLLC

  • Family Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1114780137
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EDYN WELLNESS, PLLC
Practice address
47 East Fork Road
Sylva, NC 28779
Phone
(828) 631-2717
NPI assigned
Feb 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Tneshia Lea Richards, FNP-C
Title
FNP-C
Phone
(828) 631-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

47 East Fork Road
Sylva, NC 28779

Mailing address

47 East Fork Road
Sylva, NC 28779
Phone (828) 631-2717

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tneshia@edynwellnessnc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240320000905 NC Part B Supplier - Clinic/Group Practice 4486091907 Receives reassigned benefits from 1 practitioner
Practice locations: Sylva, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2299657Edyn Wellness, PLLC47 East Fork Rd, Sylva, NC 28779Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1706745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1114780137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 EAST FORK ROAD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "28779",
            "telephone_number": "828-631-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 EAST FORK ROAD",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "28779",
            "telephone_number": "828-631-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDYN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "TNESHIA",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "828-631-2717",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tneshia@edynwellnessnc.com",
            "affiliation": "N",
            "endpointDescription": "tneshia@edynwellnessnc.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 East Fork Road",
            "city": "Sylva",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.