Organization Active NPI

New Life Health and Wellness

  • Nurse Practitioner
  • Durham, NC
National Provider Identifier
1558051805
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NEW LIFE HEALTH AND WELLNESS
Practice address
6224 Fayetteville Rd Ste 106a
Durham, NC 27713-6288
Phone
(919) 544-8889
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Branisha Burns, NP
Title
Clinic NP Director
Phone
(203) 305-3442

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

6224 Fayetteville Rd Ste 106a
Durham, NC 27713-6288

Mailing address

6224 Fayetteville Rd Ste 106a
Durham, NC 27713-6288
Phone (919) 544-8889

National Provider Directory

National Provider Directory

Locations

6224 Fayetteville Rd
Ste 106A
Durham, NC 27713
Phone (919) 544-8889

NPI Registry JSON

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1558051805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 FAYETTEVILLE RD STE 106A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136288",
            "telephone_number": "919-544-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 FAYETTEVILLE RD STE 106A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136288",
            "telephone_number": "919-544-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "BRANISHA",
        "authorized_official_title_or_position": "CLINIC NP DIRECTOR",
        "authorized_official_telephone_number": "203-305-3442",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "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 May 10, 2023; 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.