Essential Health & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ESSENTIAL HEALTH & WELLNESS

Practice address

616 Edgefield Rd Unit 170
North Augusta, SC 29841

Phone

(225) 284-8197

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Angela E Dykes, DNP, APRN, FNP-BCNPI 1417396904

Title

Owner

Phone

(803) 282-9481

Specialties & licenses 1

Addresses

Other names 1

• Essential Health & Wellness Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela E Dykes, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • North Augusta, SC
  • NPI 1417396904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1184238685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 EDGEFIELD RD STE 170",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416407",
            "telephone_number": "803-282-9481",
            "fax_number": "803-675-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 EDGEFIELD RD UNIT 170",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "29841",
            "telephone_number": "225-284-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "DYKES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-282-9481",
        "authorized_official_credential": "DNP, APRN, 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": [
        {
            "organization_name": "Essential Health & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Essential Health & Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Family Nurse Practitioner in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.