Active NPI
The Well for Health, PLLC
- Women's Health Nurse Practitioner
- Cornelius, NC
National Provider Identifier
1831476613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 940100
- Legal business name
- THE WELL FOR HEALTH, PLLC
- Practice address
- 19826 N Cove Rd Ste B
Cornelius, NC 28031-5401 - Phone
- (704) 799-5433
- Fax
- (704) 706-2446
- NPI assigned
- Nov 8, 2011
- 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
- Diane Mudge Parks, NP
- Title
- Nurse Practitioner
- Phone
- (704) 577-4630
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 940100 | NC | Primary |
Addresses
Primary practice location
19826 N Cove Rd Ste B
Cornelius, NC 28031-5401
Mailing address
575 Davidson Gateway Dr Ste 100
Davidson, NC 28036-7036
Phone (704) 799-5433
National Provider Directory
National Provider DirectoryLocations
19826 North Cove Rd
Ste B
Cornelius, NC 28031
575 Davidson Gateway Dr
Ste 100
Davidson, NC 28036
Phone (704) 799-5433
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Cornelius, NC
- NPI 1417147844
Women'S Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782691200000",
"number": "1831476613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 DAVIDSON GATEWAY DR STE 100",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280367036",
"telephone_number": "704-799-5433",
"fax_number": "704-706-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19826 N COVE RD STE B",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280315401",
"telephone_number": "704-799-5433",
"fax_number": "704-706-2446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WELL FOR HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-08",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A",
"authorized_official_last_name": "PARKS",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "MUDGE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "704-577-4630",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "940100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.