NOURISH ADOLESCENT WELLNESS (NPI# 1033710637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033710637 |
| Entity Type | Organization |
| Organization Name | NOURISH ADOLESCENT WELLNESS |
| Practice Address |
307 S Salem St Ste 100 Apex NC 27502-1845 |
| Practice Telephone | 9196278771 |
| Mailing Telephone | 9196278771 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | SARA SCHAEFER (CO-OWNER) |
| Authorized Official Telephone | 9194149229 |
| Authorized Official Credential | CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
307 S SALEM ST STE 100 |
| City | APEX |
| State | NC |
| Zip Code | 27502-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548746365 | Kassondra Amada Shoemaker Brino | Pediatrics | 307 S Salem St Ste 100, Apex, NC 27502-1845 | 2018-07-15 |
| 1508466038 | Sara Heather Schaefer | Pediatrics | 307 S Salem St Ste 100, Apex, NC 27502-1845 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194283507 | Reframe Counseling Services, Pllc | Psychologist | 1140 Savannah Ridge Road, Suites 204-206, Holly Springs, NC 27502 | 2019-03-05 |
| 1487119194 | Abdelbaky, Arbon & Boes, Pllc | Dentist | 1460 Kelly Road, Suite 201, Apex, NC 27502 | 2019-02-06 |
| 1437622792 | Abdelbaky, Arbon, & Boes, Pllc | Dentist | 1460 Kelly Rd, Apex, NC 27502 | 2019-01-09 |
| 1245733815 | Sarah S. Barker, Dds, Pllc | Clinic/Center | 1481 Chapel Ridge Road, Suite 250, Apex, NC 27502 | 2018-03-09 |
| 1497257646 | Sogoal Feizi | Chiropractor | 320 N Salem St Ste 102, Apex, NC 27502 | 2018-03-04 |
| 1417492554 | Nc Eye Associates Od Pllc | Optometrist | 1429 Kelly Road, Apex, NC 27502 | 2016-12-28 |
| 1154872646 | Renaissance Dentistry | Dentist | 800 W Williams Street, Suite 240, Apex, NC 27502 | 2016-10-19 |
| 1871049130 | Kathryn Siddle | Pharmacist | Route 940 Us 64, Apex, NC 27502 | 2016-08-28 |
| 1538526744 | Zhen Li | Acupuncturist | 1011 W. Williams St., Suite 104, Apex, NC 27502 | 2016-01-19 |
| 1174909980 | Karen Kleber Williams | Speech-Language Pathologist | 5448 Apex Peakway # 261, Apex, NC 27502 | 2015-08-04 |
| Find all providers in zip 27502 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139398 | Improved You Services LLC | Clinic/Center | 513 Hydrangea Cir Nw, Concord, NC 28027-7256 | 2020-09-22 |
| 1801413687 | Millennial Services of Nc At Rockingham | Clinic/Center | 510 S Tipton Pl, Reidsville, NC 27320-3039 | 2020-06-29 |
| 1265058234 | Transcendia Health Systems | Clinic/Center | 3618 Wagon Wheel Rd, Rocky Mount, NC 27804-9512 | 2020-06-24 |
| 1235753724 | Lobo Workplace Solutions, Inc. | Clinic/Center | 104 E Club Blvd, Durham, NC 27704-4316 | 2020-06-01 |
| 1265062350 | Dogwood Psychology Center for Children and Families | Clinic/Center | 960 Corporate Dr Ste 111, Hillsborough, NC 27278-8560 | 2020-01-17 |
| 1760021166 | Uniquelyu Counseling | Clinic/Center | 4808 Cutstone Ct, Raleigh, NC 27610-6622 | 2020-01-02 |
| 1366080921 | Bridge Builders Counseling Pllc | Clinic/Center | 311 Judges Rd Ste 1e, Wilmington, NC 28405-3654 | 2019-12-13 |
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1447722384 | Claudia Shapiro, Lcsw | Clinic/Center | 139 W King St, Hillsborough, NC 27278-2543 | 2018-12-17 |
| 1033698683 | Keron Terrell Artis | Clinic/Center | 1405 Chesnee Dr Nw, Wilson, NC 27896-1523 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.