NPIMap

Organization Active NPI

Alpha Nutrition & Wellness Center, LLC

  • Physiological Laboratory
  • Alpharetta, GA
National Provider Identifier
1336447754
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
11D2005794 Issued in GA
Legal business name
ALPHA NUTRITION & WELLNESS CENTER, LLC
Practice address
5 Old Roswell St
Alpharetta, GA 30009-7907
Phone
(800) 634-1843
Fax
(678) 701-5604
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Dr. Veronica Oriako Okwoche-Welsh, PH.D
Title
Director
Phone
(800) 634-1843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 11D2005794 GA Primary

Addresses

Primary practice location

5 Old Roswell St
Alpharetta, GA 30009-7907

Mailing address

5 Old Roswell St
Alpharetta, GA 30009-7907
Phone (800) 634-1843

Other identifiers 1

IdentifierTypeStateIssuer
11D2005794OtherGACLIA

Other names 1

  • Alpha Consulting & Wellness Center Former legal business name

National Provider Directory

National Provider Directory

Locations

5 Old Roswell St
Alpharetta, GA 30009
Phone (800) 634-1843

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1336447754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OLD ROSWELL ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097907",
            "telephone_number": "800-634-1843",
            "fax_number": "678-701-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 OLD ROSWELL ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097907",
            "telephone_number": "800-634-1843",
            "fax_number": "678-701-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA NUTRITION & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "OKWOCHE-WELSH",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ORIAKO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "800-634-1843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "GA",
            "license": "11D2005794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D2005794",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Consulting & Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.