Active NPI
Wellspring Women'S Health LLC
- Women's Health Nurse Practitioner
- Scotch Plains, NJ
National Provider Identifier
1679017933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00343800
- Legal business name
- WELLSPRING WOMEN'S HEALTH LLC
- Practice address
- 1814 E 2ND St
Scotch Plains, NJ 07076-1751 - Phone
- (732) 456-6262
- Fax
- (732) 626-6579
- NPI assigned
- Dec 6, 2016
- 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
- Sarah Wallis, CNM WHNP
- Title
- Owner
- Phone
- (908) 745-9178
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00343800 | NJ | Primary |
Addresses
Primary practice location
1814 E 2ND St
Scotch Plains, NJ 07076-1751
Mailing address
280 Rolling Knolls Way
Bridgewater, NJ 08807-1915
Phone (908) 745-9178
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480982400000",
"number": "1679017933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 ROLLING KNOLLS WAY",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088071915",
"telephone_number": "908-745-9178",
"fax_number": "732-626-6579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 E 2ND ST",
"city": "SCOTCH PLAINS",
"state": "NJ",
"postal_code": "070761751",
"telephone_number": "732-456-6262",
"fax_number": "732-626-6579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPRING WOMEN'S HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A",
"authorized_official_last_name": "WALLIS",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-745-9178",
"authorized_official_credential": "CNM WHNP"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ00343800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scotch Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.