Organization Active NPI

Wellness Restoratives, LLC

  • Acute Care Nurse Practitioner
  • Madison, AL
National Provider Identifier
1962685081
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
WELLNESS RESTORATIVES, LLC
Practice address
1230 Slaughter Rd
Suite C
Madison, AL 35758-5900
Phone
(256) 722-0555
Fax
(256) 830-5135
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Ms. Deborah Annette Brooks, CRNPNPI 1679613152
Title
Owner / CRNP
Phone
(256) 881-1057

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
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

1230 Slaughter Rd
Suite C
Madison, AL 35758-5900

Mailing address

2117 Mythewood Dr SW
Huntsville, AL 35803-1421
Phone (256) 881-1057

National Provider Directory

National Provider Directory

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1962685081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 MYTHEWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358031421",
            "telephone_number": "256-881-1057",
            "fax_number": "256-830-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SLAUGHTER RD",
            "address_2": "SUITE C",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357585900",
            "telephone_number": "256-722-0555",
            "fax_number": "256-830-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS RESTORATIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER / CRNP",
        "authorized_official_telephone_number": "256-881-1057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.