Organization Active NPI

The Well for Health, PLLC

  • Women's Health Nurse Practitioner
  • Cornelius, NC
National Provider Identifier
1831476613
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
940100 Issued in NC
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

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Diane Mudge Parks, NPNPI 1417147844
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)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.