Organization Active NPI

It Is Well Healthcare, LLC

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1447906748
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
IT IS WELL HEALTHCARE, LLC
Practice address
33 Gooden Ave
Dover, DE 19904-4143
Phone
(302) 678-9355
Fax
(302) 678-9310
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Amanda Boone, NPNPI 1962922997
Title
Owner
Phone
(302) 678-9355

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
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

33 Gooden Ave
Dover, DE 19904-4143

Mailing address

33 Gooden Ave
Dover, DE 19904-4143
Phone (302) 678-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220329000389 DE Part B Supplier - Clinic/Group Practice 2961897053 Receives reassigned benefits from 5 practitioners
Practice locations: Dover, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2257645It Is Well Healthcare, LLC33 Gooden Ave, Dover, DE 19904Certificate of waiverApr 7, 2028

National Provider Directory

National Provider Directory

Locations

33 Gooden Ave
Dover, DE 19904
Phone (302) 678-9355

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1447906748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-678-9355",
            "fax_number": "302-678-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GOODEN AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044143",
            "telephone_number": "302-678-9355",
            "fax_number": "302-678-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT IS WELL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-678-9355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.