Wellness Family Medicine, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

WELLNESS FAMILY MEDICINE, PC

Practice address

760 Cypress Ave Ste 300
Redding, CA 96001-2743

Phone

(530) 768-9490

Fax

(530) 653-2150

NPI assigned

Dec 12, 2021

Organization subpart

No

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

Authorized official

Name

Gretchen MelburgNPI 1790066686

Title

Chief Financial Officer

Phone

(530) 768-9490

Specialties & licenses 2

Addresses

Other names 1

• COVID Antibody Treatment Clinic Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Gretchen Melburg, FNP

  • Family Nurse Practitioner
  • Redding, CA
  • NPI 1790066686
  Medicare reassignment NPD Authorized official
• Paul Richard Davis, D.O.

  • Family Medicine Physician
  • Redding, CA
  • NPI 1609989532
  NPD (past)
• Joyce Bea Henry-Haedrich, FNP-C

  • Nurse Practitioner
  • Redding, CA
  • NPI 1235801960
  NPD (past)

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

{
    "created_epoch": "1639267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1194484600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 EL CAPITAN DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012974",
            "telephone_number": "530-768-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CYPRESS AVE STE 300",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012743",
            "telephone_number": "530-768-9490",
            "fax_number": "530-653-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "MELBURG",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-768-9490"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVID Antibody Treatment Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brandon Weinstock, MS, RN, PMHNP-BC
• Keri L Weinstock, CNP
• Florentina Welch
• Jeremy Mason Wellman, PA-C
• Wellness Centrum Family Counseling Inc.
• Jesse A Wells, MD
• Kendra Christine Wells
• Ryla Jean Wells
• Wellscript, Inc.
• David Wenerstrom Sr.

• Health Service Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.