Active NPI
New Life Health and Wellness
- Nurse Practitioner
- Durham, NC
National Provider Identifier
1558051805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Nurse Practitioner | 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 DirectoryLocations
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.