Organization Active NPI

Wellcare Health Insurance Company of New Hampshire Inc

  • Preferred Provider Organization
  • Tampa, FL
National Provider Identifier
1164275608
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE INC
Practice address
8725 Henderson Rd
Tampa, FL 33634-1143
Phone
(813) 206-1393
NPI assigned
Apr 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Kendra Archer
Title
Vice President, Board Secretary
Phone
(813) 206-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

8725 Henderson Rd
Tampa, FL 33634-1143

Mailing address

8725 Henderson Rd
Tampa, FL 33634-1143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1164275608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8725 HENDERSON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341143",
            "telephone_number": "813-206-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE HEALTH INSURANCE COMPANY OF NEW HAMPSHIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "VICE PRESIDENT, BOARD SECRETARY",
        "authorized_official_telephone_number": "813-206-1393"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.