Active NPI
Wella Quince Culver
- Registered Nurse
- Powell, TN
National Provider Identifier
1306513494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 256080
- Practice address
- 7557B Dannaher Dr Ste 145
Powell, TN 37849-1529 - Phone
- (865) 512-2450
- Fax
- (865) 512-2455
- NPI assigned
- Aug 25, 2021
- Last updated
- Aug 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 811363 | NY | |
| Registered Nurse | 163W00000X | 256080 | TN | Primary |
Addresses
Primary practice location
7557B Dannaher Dr Ste 145
Powell, TN 37849-1529
Mailing address
7041 Traditional Dr
Knoxville, TN 37909-3008
Phone (865) 382-1621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 811363 | NY | MD | Registered Nurse |
| 256080 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1306513494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7041 TRADITIONAL DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379093008",
"telephone_number": "865-382-1621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7557B DANNAHER DR STE 145",
"city": "POWELL",
"state": "TN",
"postal_code": "378491529",
"telephone_number": "865-512-2450",
"fax_number": "865-512-2455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "WELLA",
"middle_name": "QUINCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "811363",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "256080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.