Wings 2 Fly

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WINGS 2 FLY

Practice address

825 Oakwood Villa
Kannapolis, NC 28081

Phone

(980) 858-9902

NPI assigned

Nov 26, 2024

Last updated

Nov 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dorenda DurrNPI 1407414139

Title

Ceo

Phone

(980) 858-9902

Specialties & licenses 5

Addresses

Practitioners 1

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.

• Dorenda Durr

  • Peer Specialist
  • Kannapolis, NC
  • NPI 1407414139
  NPD Authorized official

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1669298436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 GEORGE W LILES PKWY NW STE 160",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280272411",
            "telephone_number": "980-858-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OAKWOOD VILLA",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "28081",
            "telephone_number": "980-858-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS 2 FLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "DURR",
        "authorized_official_first_name": "DORENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-858-9902"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Joe Willis, D.C.
• Lilly Randall Wilson, CFNP
• Patricia D. Wilson
• Peyton Nance Wilson, MOT, OTR/L
• Charlotte Windley, LCMHCA
• Lori Wohlfarth, OTR
• Darby Marie Wolfe, LPTA
• Tovakyshe Woullard, LCSWA. LCAS-A
• Chane Wray, OTD, OTR/L
• Taylor Makenzie Wyrick, DNP, PNP-AC

• Community/Behavioral Health Agency in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.