Organization Active NPI

Healing Waters IV Therapy

  • Gerontology Nurse Practitioner
  • Durham, NC
National Provider Identifier
1518798776
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
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

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Linda BrownNPI 1275390635
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)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.