Active NPI
Nurturing Wellness Pediatrics, PLLC
- Pediatrics Physician
- Bismarck, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- NURTURING WELLNESS PEDIATRICS, PLLC
- Practice address
- 1500 Interchange Ave Ste 200
Bismarck, ND 58501-2084 - Phone
- (401) 952-0293
- NPI assigned
- Mar 20, 2020
- Last updated
- May 5, 2020
- 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
- Dr. Kathy Melissa Anderson, MD
- Title
- Pediatrician
- Phone
- (401) 952-0293
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | NU | Primary |
Addresses
Primary practice location
1500 Interchange Ave Ste 200
Bismarck, ND 58501-2084
Mailing address
5119 Fountainblue Dr
Bismarck, ND 58503-8893
Phone (401) 952-0293
Other practice location 1
5119 Fountainblue Dr
Bismarck, ND 58503-8893
Phone (401) 952-0293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1500 Interchange Ave
Ste 200
Bismarck, ND 58501
Phone (401) 952-0293
1930 Burnt Boat Dr
#B
Bismarck, ND 58503
Phone (701) 400-9596
Interoperability endpoints
- https://api.platform.athenahealth.com/26013/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Nurse Practitioner
- Dickinson, ND
- NPI 1639941131
-
- Family Nurse Practitioner
- Bismarck, ND
- NPI 1295623171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588636800000",
"number": "1619503760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5119 FOUNTAINBLUE DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585038893",
"telephone_number": "401-952-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 INTERCHANGE AVE STE 200",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585012084",
"telephone_number": "401-952-0293"
}
],
"practiceLocations": [
{
"address_1": "5119 Fountainblue Dr",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585038893",
"country_code": "US",
"telephone_number": "401-952-0293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NURTURING WELLNESS PEDIATRICS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-20",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "MELISSA",
"authorized_official_title_or_position": "PEDIATRICIAN",
"authorized_official_telephone_number": "401-952-0293",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.