Organization Active NPI

Wellness in Motion 4 Life: a Strong Mind Equals a Strong Body, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1992549828
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
WELLNESS IN MOTION 4 LIFE: A STRONG MIND EQUALS A STRONG BODY, PLLC
Practice address
4819 Emperor Blvd Ste 400
Durham, NC 27703-5420
Phone
(919) 617-1307
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Akelah Woody, PMHNP-BC, FNP-BCNPI 1285102178
Title
Nurse Practitioner
Phone
(919) 617-1307

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4819 Emperor Blvd Ste 400
Durham, NC 27703-5420

Mailing address

4819 Emperor Blvd Ste 400
Durham, NC 27703-5420
Phone (919) 617-1307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240710003935 NC Part B Supplier - Clinic/Group Practice 5799220059 Receives reassigned benefits from 1 practitioner
Practice locations: Durham, NC

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1992549828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035420",
            "telephone_number": "919-617-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 EMPEROR BLVD STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035420",
            "telephone_number": "919-617-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS IN MOTION 4 LIFE: A STRONG MIND EQUALS A STRONG BODY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "WOODY",
        "authorized_official_first_name": "AKELAH",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-617-1307",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.