Organization Active NPI

Telehealth Weight Loss NP, PLLC

  • Adult Health Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1861266645
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
TELEHEALTH WEIGHT LOSS NP, PLLC
Practice address
10433 Ligon Mill Rd
Wake Forest, NC 27587-4987
Phone
(984) 301-8178
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Shelly Yvette Alasti, NP
Title
Nurse Practitioner
Phone
(984) 301-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

10433 Ligon Mill Rd
Wake Forest, NC 27587-4987

Mailing address

10433 Ligon Mill Rd
Wake Forest, NC 27587-4987

National Provider Directory

National Provider Directory

Locations

10433 Ligon Mill Rd
Wake Forest, NC 27587
Phone (984) 301-8178

NPI Registry JSON

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1861266645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433 LIGON MILL RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10433 LIGON MILL RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874987",
            "telephone_number": "984-301-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEHEALTH WEIGHT LOSS NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "ALASTI",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "984-301-8178",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.