Organization Active NPI

Burkholder Wellness, PLLC

  • Health Service Clinic/Center
  • Charlotte, NC
National Provider Identifier
1205295011
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5006822 Issued in NC
Legal business name
BURKHOLDER WELLNESS, PLLC
Practice address
5200 Park Rd
Suite 207-D
Charlotte, NC 28209-3650
Phone
(704) 287-5454
NPI assigned
Feb 22, 2016
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Elizabeth A Burkholder, FNPNPI 1780001669
Title
Family Nurse Practitioner / Owner
Phone
(704) 287-5454

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5006822 NC Primary

Addresses

Primary practice location

5200 Park Rd
Suite 207-D
Charlotte, NC 28209-3650

Mailing address

5200 Park Rd
Suite 207-D
Charlotte, NC 28209-3650
Phone (704) 287-5454

National Provider Directory

National Provider Directory

Locations

5200 Park Rd
Ste 207D
Charlotte, NC 28209
Phone (704) 287-5454

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": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1205295011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 PARK RD",
            "address_2": "SUITE 207-D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-287-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 PARK RD",
            "address_2": "SUITE 207-D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093650",
            "telephone_number": "704-287-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURKHOLDER WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "704-287-5454",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "5006822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.