Active NPI
Healing Waters IV Therapy
- Gerontology Nurse Practitioner
- Durham, NC
National Provider Identifier
1518798776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- HEALING WATERS IV THERAPY
- Practice address
- 1921 N Pointe Dr Ste 2006
Durham, NC 27705-2672 - Phone
- (919) 638-0404
- NPI assigned
- Aug 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Brown
- Title
- Owner
- Phone
- (984) 777-0184
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
1921 N Pointe Dr Ste 2006
Durham, NC 27705-2672
Mailing address
1921 N Pointe Dr Ste 2006
Durham, NC 27705-2672
Phone (919) 638-0404
National Provider Directory
National Provider DirectoryLocations
1921 N Pointe Dr
Ste 2006
Durham, NC 27705
Phone (919) 638-0404
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Durham, NC
- NPI 1275390635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723161600000",
"number": "1518798776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 N POINTE DR STE 2006",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052672",
"telephone_number": "919-638-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 N POINTE DR STE 2006",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052672",
"telephone_number": "919-638-0404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING WATERS IV THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LINDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "984-777-0184"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Healing Harmony Therapeutic Services, PLLC
- Healing Hearts Wellness Center
- Healing Horizon Community Care LLC
- Healing Spaces PLLC
- Healing Waters Cosmetic Clinic, PLLC
- Healing Waters North Carolina
- Healing With Caare Inc
- Healing With Caare, Inc (CAARE, Inc)
- Healing Within Holistic Health Services
- Healing Within Holistic Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.