Selectwell

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

SELECTWELL

Practice address

1175 Revolution Mill Dr Ste 10
Greensboro, NC 27405-5080

Phone

(336) 510-1120

Fax

(336) 235-3044

NPI assigned

Aug 11, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly Agamedi, NPNPI 1275814758

Title

Nurse Practitioner

Phone

(336) 510-1120

Specialties & licenses 1

Addresses

Other names 1

• Revolution Health Other name

Locations

Practitioners 1

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

• Kimberly Lewis Agamedi, NP

  • Nurse Practitioner
  • Winston Salem, NC
  • NPI 1275814758
  NPD Authorized official

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691712000000",
    "number": "1881377299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13029",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153029",
            "telephone_number": "336-510-1120",
            "fax_number": "336-235-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 REVOLUTION MILL DR STE 10",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055080",
            "telephone_number": "336-510-1120",
            "fax_number": "336-235-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECTWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "AGAMEDI",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "336-510-1120",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Seiler
• Gifty Selby
• Select Reference Laboratories, LLC
• Select Specialty Hospital - Greensboro Inc
• Select Specialty Hospital - Greensboro Inc.
• Whitney Ann Self, MS, RD, LDN
• Selfless Foundation, Inc.
• Ashley Erin Hellein Seliquini, SLP
• Alison McKenzie Sell, OTR/L
• Shannon Sellers-Harty, MSW, LCSW

• Corporate Health Clinic/Center in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Corporate Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.