Well Life Abq, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

WELL LIFE ABQ, LLC

Practice address

8400 Osuna Rd NE Ste 5C
Albuquerque, NM 87111-2072

Phone

(505) 585-2345

Fax

(505) 800-5030

NPI assigned

Apr 8, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Devine, APRN

Title

Owner

Phone

(505) 585-2345

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katherine Choe Raver, FNP-C

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1942632765
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1992324149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901J WYOMING BLVD NE # 351",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093866",
            "telephone_number": "505-585-2345",
            "fax_number": "505-800-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 OSUNA RD NE STE 5C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112072",
            "telephone_number": "505-585-2345",
            "fax_number": "505-800-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL LIFE ABQ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "DEVINE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-585-2345",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Welch, FNP-BC
• Tawanda Welch, OTR L
• Jana Welder, FNP-C
• Tina Welker, MD
• Well Life Abq, LLC
• Well Play-Play Therapy
• Well Rounded LLC
• Well Sphere LLC
• Wellbeing Counseling Center, LLC
• Wellcare, Inc.

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.