Organization Active NPI

Nurtured Balance Wellness, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fuquay Varina, NC
National Provider Identifier
1407732092
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NURTURED BALANCE WELLNESS, PLLC
Practice address
756 Westec Way
Fuquay Varina, NC 27526-3892
Phone
(610) 737-6096
NPI assigned
Aug 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Linda HydroNPI 1053297648
Title
Pmhnp/Owner
Phone
(610) 737-6096

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

756 Westec Way
Fuquay Varina, NC 27526-3892

Mailing address

756 Westec Way
Fuquay Varina, NC 27526-3892
Phone (610) 737-6096

Other practice location 1

1700 7th Ave Ste 2100
Seattle, WA 98101-1360
Phone (610) 737-6096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260218001182 NC Part B Supplier - Clinic/Group Practice 5395225387 Receives reassigned benefits from 1 practitioner
Practice locations: Fuquay Varina, NC

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": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1407732092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 WESTEC WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263892",
            "telephone_number": "610-737-6096",
            "fax_number": "919-910-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 WESTEC WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275263892",
            "telephone_number": "610-737-6096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 7th Ave Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011360",
            "country_code": "US",
            "telephone_number": "610-737-6096",
            "fax_number": "919-910-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NURTURED BALANCE WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "HYDRO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "610-737-6096"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.