Wello Lombahe, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5011845 Issued in NC

Practice address

131 Welton Way
Mooresville, NC 28117-9163

Phone

(704) 360-4564

Fax

(704) 360-4553

NPI assigned

Jun 10, 2019

Last updated

Sep 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MC Family Medical, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1780825539
  Medicare reassignment NPD
• FCRX Inc

  • Pharmacy
  • Charlotte, NC
  • NPI 1366802407
  NPD (past)

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1124687512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564",
            "fax_number": "704-360-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282123856",
            "country_code": "US",
            "telephone_number": "704-921-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBAHE",
        "first_name": "WELLO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011845",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5011845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LKN Counseling and Sex Therapy, PLLC.
• LKN Wellness, PLLC
• Kara Lloyd, FNP-BC
• Jo Dee Lobdell, LCMHC
• Lolly Therapeutics, LLC
• Victoria T Lombardi, PHD, BCBA
• Londry, Modlin, Tucker & Zimmer DDS PLLC (Happy Teeth Pediatric Dentistry - Mooresville)
• Brittany Marie Lopez, M.S. BCBA
• Monica Webb Lordi, PA
• Tiana Noelle Losinski, MD

• Primary Care Nurse Practitioner in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Primary Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.