Transformative Health and Wellness, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRANSFORMATIVE HEALTH AND WELLNESS, PLLC

Practice address

900 E Six Forks Rd Unit 522
Raleigh, NC 27604-1843

Phone

(336) 514-3587

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Kiera Ru'Shelle Slade, FNP

Title

Ceo/Founder

Phone

(336) 514-3587

Specialties & licenses 1

Addresses

Tax ID family

Transformative Health and Wellness PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Transformative Health and Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1063351039
  NPD tax ID

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1295563880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SIX FORKS RD UNIT 522",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041843",
            "telephone_number": "336-514-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SIX FORKS RD UNIT 522",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041843",
            "telephone_number": "336-514-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "KIERA",
        "authorized_official_middle_name": "RU'SHELLE",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "336-514-3587",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transforming Your Tomorrow, PLLC
• Transforward Care PLLC
• Transitional Community Support LLC

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.