Organization Active NPI

Healthier You Health Clinic, PLLC

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1134977788
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HEALTHIER YOU HEALTH CLINIC, PLLC
Practice address
129 Fayette St Ste 101
Winston Salem, NC 27101-3637
Phone
(336) 528-4478
NPI assigned
May 8, 2024
Last updated
May 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Tenika McCorkle, DNP, APRN, FNP-BCNPI 1457866451
Title
Director
Phone
(828) 291-0246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

129 Fayette St Ste 101
Winston Salem, NC 27101-3637

Mailing address

648 Hanes Mall Blvd # 314
Winston Salem, NC 27103-5670

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Opimantra Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240827000229 NC Part B Supplier - Clinic/Group Practice 0345789061 Receives reassigned benefits from 1 practitioner
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

129 Fayette St
Ste 101
Winston Salem, NC 27101
Phone (336) 510-9930

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.

NPI Registry JSON

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1134977788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 HANES MALL BLVD # 314",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 FAYETTE ST STE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013637",
            "telephone_number": "336-528-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHIER YOU HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MCCORKLE",
        "authorized_official_first_name": "TENIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-291-0246",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Opimantra",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Opimantra",
            "address_1": "129 Fayette St Ste 101",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271013637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.