NPIMap

Organization Active NPI

Heal on Wheels of NC, PLLC

Doing business as Heel on Wheels

  • Adult Mental Health Clinic/Center
  • Gates, NC
National Provider Identifier
1316676380
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEAL ON WHEELS OF NC, PLLC
Doing business as
Heel on Wheels
Practice address
76 Louise St
Gates, NC 27937-9834
Phone
(252) 370-5222
NPI assigned
Jun 6, 2022
Last updated
Jun 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Rondeshya K Cosby, PMHNP-BCNPI 1184209777
Title
Owner
Phone
(252) 370-5222

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

76 Louise St
Gates, NC 27937-9834

Mailing address

PO Box 2977
Elizabeth City, NC 27906-2977
Phone (252) 370-5222

Other names 1

  • Heel on Wheels Doing business as

National Provider Directory

National Provider Directory

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": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1316676380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2977",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062977",
            "telephone_number": "252-370-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 LOUISE ST",
            "city": "GATES",
            "state": "NC",
            "postal_code": "279379834",
            "telephone_number": "252-370-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL ON WHEELS OF NC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "COSBY",
        "authorized_official_first_name": "RONDESHYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-370-5222",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heel on Wheels",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heel on Wheels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gates, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.