Active NPI
Haven Health and Wellness, PLLC
- Family Nurse Practitioner
- Hickory, NC
National Provider Identifier
1144155383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HAVEN HEALTH AND WELLNESS, PLLC
- Practice address
- 1939 Tate Blvd SE
Hickory, NC 28602-1430 - Phone
- (704) 929-5837
- NPI assigned
- Jun 17, 2026
- 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
- Melissa Bonilla, FNP-BC
- Title
- Owner/Provider
- Phone
- (704) 929-5837
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1939 Tate Blvd SE
Hickory, NC 28602-1430
Mailing address
106 Dobbs Dr
Statesville, NC 28625-1942
Phone (704) 929-5837
Other practice location 1
133 Stetson Dr
Charlotte, NC 28262-3326
Phone (704) 929-5837
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Statesville, NC
- NPI 1760317994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781654400000",
"number": "1144155383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 DOBBS DR",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251942",
"telephone_number": "704-929-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 TATE BLVD SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021430",
"telephone_number": "704-929-5837"
}
],
"practiceLocations": [
{
"address_1": "133 Stetson Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282623326",
"country_code": "US",
"telephone_number": "704-929-5837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAVEN HEALTH AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-17",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A",
"authorized_official_last_name": "BONILLA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "704-929-5837",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.