Well Rooted Mental Health, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WELL ROOTED MENTAL HEALTH, PLLC

Practice address

3118 N Croatan Hwy Ste 206
Kill Devil Hills, NC 27948-9252

Phone

(252) 581-1912

Fax

(252) 408-4318

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Laura Anne Antinarella, PMHNPNPI 1760882948

Title

Owner

Phone

(252) 581-1912

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura Antinarella, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Kill Devil Hills, NC
  • NPI 1760882948
  NPD Authorized official

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1801610977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HIGH DUNE LOOP",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493707",
            "telephone_number": "525-811-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3118 N CROATAN HWY STE 206",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489252",
            "telephone_number": "252-581-1912",
            "fax_number": "252-408-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ROOTED MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ANTINARELLA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-581-1912",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Wade
• Jordan Waitman
• Walgreen Co
• Walgreen Co
• Linda Riley Walton, BT
• Wellness Within Professional Counseling
• Dorothy Tazewell Whitener, FNP
• Wayne Douglas Wingate, RPH
• Teri Piner Woolard, MA, LPCA, NCC

• Psychiatry Physician in Kill Devil Hills, NC
• Providers in Kill Devil Hills, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.