Organization Active NPI

Wellcraft Health PLLC

  • Family Medicine Physician
  • Roanoke Rapids, NC
National Provider Identifier
1164289294
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WELLCRAFT HEALTH PLLC
Practice address
40 Anna Louise LN
Roanoke Rapids, NC 27870-8648
Phone
(252) 917-8410
Fax
(252) 541-2763
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Carl Rupe
Title
Vice President
Phone
(252) 917-8410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

40 Anna Louise LN
Roanoke Rapids, NC 27870-8648

Mailing address

52 Cross PT
Littleton, NC 27850-9457
Phone (252) 204-4259

National Provider Directory

National Provider Directory

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": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1164289294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 CROSS PT",
            "city": "LITTLETON",
            "state": "NC",
            "postal_code": "278509457",
            "telephone_number": "252-204-4259",
            "fax_number": "252-541-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ANNA LOUISE LN",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278708648",
            "telephone_number": "252-917-8410",
            "fax_number": "252-541-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCRAFT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "RUPE",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-917-8410"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.