Individual provider Active NPI

Weedor Precious Kollie

  • Primary Care Nurse Practitioner
  • Townsend, DE
National Provider Identifier
1619739828
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
F12230571 Issued in DE
Practice address
1206 Myers St
Townsend, DE 19734-3007
Phone
(401) 617-3816
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F12230571 DE Primary

Addresses

Primary practice location

1206 Myers St
Townsend, DE 19734-3007

Mailing address

1206 Myers St
Townsend, DE 19734-3007
Phone (401) 617-3816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829002921 DE Practitioner - Nurse Practitioner 8426597741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Precision Care and Wellness, LLCGroup PAC ID 7214270461, 8 clinicians
Precision Care and Wellness LLCGroup PAC ID 1951770338, 6 clinicians

Practice addresses (Care Compare)

4001 Miller Rd
Suite 1
Wilmington, DE 19802-1961
Phone (302) 407-5222

5309 Limestone Rd
Suite B
Wilmington, DE 19808-1222
Phone (302) 604-3448

74 E Glenwood Ave
Suite 276
Smyrna, DE 19977-1002
Phone (302) 373-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12230571DEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Care & Wellness, LLC Primary Care CurrentSince Aug 1, 2024 Accepting new patients
Lindo Family Health & Wellness Care Current Accepting new patients
Era Medical Services LLC Primary Care CurrentSince Jan 26, 2025 Accepting new patients
Precision Care and Wellness LLC Dba Lavish Wellness and Aesthetics Primary Care CurrentSince Aug 1, 2024 Accepting new patients

Locations

74 E Glenwood Ave
#276
Smyrna, DE 19977
Phone (302) 373-5810

4001 Miller Rd
Wilmington, DE 19802
Phone (302) 764-2008

5309 Limestone Rd
Ste B
Wilmington, DE 19808
Phone (302) 509-3213

4001 Miller Rd
Ste 1
Wilmington, DE 19802
Phone (302) 407-5222

2060 Limestone Rd
Ste 205
Wilmington, DE 19808
Phone (302) 604-3448

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1619739828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MYERS ST",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197343007",
            "telephone_number": "401-617-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MYERS ST",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197343007",
            "telephone_number": "401-617-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLIE",
        "first_name": "WEEDOR",
        "middle_name": "PRECIOUS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "F12230571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, DE

Sources for this page

Verify at the official NPI Registry.