Organization Active NPI

Wellspring Women'S Health LLC

  • Women's Health Nurse Practitioner
  • Scotch Plains, NJ
National Provider Identifier
1679017933
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00343800 Issued in NJ
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

Updated by the provider on Dec 6, 2016

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)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.