Active NPI
WNC Healing Collaborative, PLLC
- Primary Care Clinic/Center
- Marshall, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- WNC HEALING COLLABORATIVE, PLLC
- Practice address
- 32 N Main St Unit 1
Marshall, NC 28753-0317 - Phone
- (828) 201-2758
- Fax
- (877) 371-6918
- NPI assigned
- Nov 9, 2022
- Last updated
- Dec 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon O'Conner, FNP
- Title
- Ceo
- Phone
- (828) 201-2758
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
32 N Main St Unit 1
Marshall, NC 28753-0317
Mailing address
32 N Main St Unit 1
Marshall, NC 28753-0317
Phone (828) 201-2758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902190416 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@wnchealing.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3377 Broad St
Clyde, NC 28721
Phone (828) 201-2758
32 N Main St
Marshall, NC 28753
32 N Main St
Unit 1
Marshall, NC 28753
Phone (828) 201-2758
Interoperability endpoints
- https://api.platform.athenahealth.com/27541/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Hendersonville, NC
- NPI 1902190416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670803200000",
"number": "1134837198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 N MAIN ST UNIT 1",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287530317",
"telephone_number": "828-201-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 N MAIN ST UNIT 1",
"city": "MARSHALL",
"state": "NC",
"postal_code": "287530317",
"telephone_number": "828-201-2758",
"fax_number": "877-371-6918"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WNC HEALING COLLABORATIVE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A",
"authorized_official_last_name": "O'CONNER",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "828-201-2758",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902190416",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@wnchealing.com",
"affiliation": "N",
"address_1": "32 N Main St Unit 1",
"city": "Marshall",
"state": "NC",
"country_code": "US",
"postal_code": "287530317",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.