NPIMap

Organization Active NPI

Nenawellness LLC

  • Registered Dietitian
  • Durham, NC
National Provider Identifier
1912737537
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NENAWELLNESS LLC
Doing business as
NENAwellness LLC
Practice address
3401 University Dr Ste 9
Durham, NC 27707-2656
Phone
(919) 730-4542
NPI assigned
Aug 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Joanna AmstelveenNPI 1477941144
Title
Owner
Phone
(904) 472-4279

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
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3401 University Dr Ste 9
Durham, NC 27707-2656

Mailing address

191 Sunnybrook LN
Lillington, NC 27546-5567
Phone (904) 472-4279

Other names 1

  • NENAwellness LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3401 University Dr
Ste 9
Durham, NC 27707
Phone (919) 730-4542

Practitioners & affiliated clinicians

Practitioners 2

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": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1912737537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SUNNYBROOK LN",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465567",
            "telephone_number": "904-472-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 UNIVERSITY DR STE 9",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072656",
            "telephone_number": "919-730-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NENAWELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "AMSTELVEEN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-472-4279"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NENAwellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.