Active NPI
Appalachian Wellness Collective
- Nurse Practitioner
- Red House, WV
National Provider Identifier
1245155589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- APPALACHIAN WELLNESS COLLECTIVE
- Practice address
- 4764 Steele Ridge Rd
Red House, WV 25168-7700 - Phone
- (304) 206-6760
- NPI assigned
- Aug 13, 2026
- Last updated
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Davis, APRN, FNP-C, PMHNP-B
- Title
- Owner
- Phone
- (304) 206-6760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
4764 Steele Ridge Rd
Red House, WV 25168-7700
Mailing address
4764 Steele Ridge Rd
Red House, WV 25168-7700
Phone (304) 206-6760
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Nurse Practitioner
- Charleston, WV
- NPI 1821646019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1245155589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4764 STEELE RIDGE RD",
"city": "RED HOUSE",
"state": "WV",
"postal_code": "251687700",
"telephone_number": "304-206-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4764 STEELE RIDGE RD",
"city": "RED HOUSE",
"state": "WV",
"postal_code": "251687700",
"telephone_number": "304-206-6760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPALACHIAN WELLNESS COLLECTIVE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-13",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-206-6760",
"authorized_official_credential": "APRN, FNP-C, PMHNP-B"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red House, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.