WELLO LOMBAHE (NPI# 1124687512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124687512 |
| Entity Type | Individual |
| Full Name | WELLO LOMBAHE |
| Credential | NP |
| Practice Address |
131 Welton Way Mooresville NC 28117-9163 |
| Mailing Address |
6700 Albemarle Rd Charlotte NC 28212-3856 |
| Practice Telephone | 7043604564 |
| Practice Fax Number | 7043604553 |
| Mailing Telephone | 7049211000 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011845 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6700 Albemarle Rd, Charlotte, NC 282123856 | 7049211000 |
| Street Address |
131 WELTON WAY |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-9163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942237409 | Carolyn B Davis | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117 | 2006-06-28 |
| 1225464126 | Lee-marie Davis | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117-9163 | 2013-09-24 |
| 1598101974 | Carolina Pain and Weight Loss | Clinic/Center | 131 Welton Way, Mooresville, NC 28117-9163 | 2013-05-13 |
| 1801194584 | Amy Larreur Heusinger | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117-9163 | 2011-03-04 |
| 1104056167 | Jennifer M Drake | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117-9163 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079356 | Brianna Helen Devalk | Nurse Practitioner | 161 Mott Rd, Mooresville, NC 28115-8588 | 2020-10-06 |
| 1497361067 | Kara Lloyd | Nurse Practitioner | 105 Sapling St Apt 101, Mooresville, NC 28117-7063 | 2020-09-19 |
| 1710518220 | Katie T Kissel | Nurse Practitioner | 128 E Plaza Dr Ste 3, Mooresville, NC 28115-8000 | 2020-02-03 |
| 1942844527 | Samuel Sackenheim | Nurse Practitioner | 117 Clodfelter Rd, Mooresville, NC 28115-7810 | 2019-11-06 |
| 1932743846 | Amber W Waddell | Nurse Practitioner | 103 Sandreed Dr, Mooresville, NC 28117-4360 | 2019-11-04 |
| 1205483922 | Elizabeth Lamb | Nurse Practitioner | 510 River Hwy Ste 15a, Mooresville, NC 28117-6943 | 2019-08-19 |
| 1023520301 | Dawn Marie Cahn | Nurse Practitioner | 137 Shavender Dr, Mooresville, NC 28117-6407 | 2017-10-26 |
| 1831637545 | Gisela Blake | Nurse Practitioner | 112 Argus Ln Ste A, Mooresville, NC 28117-9270 | 2017-02-02 |
| 1215338330 | Michelle Jackson | Nurse Practitioner | 115 Fields St # De, Mooresville, IN 46158-1492 | 2014-09-08 |
| 1538428875 | Erica Hendress | Nurse Practitioner | 523 South State Road 67, Minute Clinic, Mooresville, IN 46158-4529 | 2012-05-07 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on WELLO LOMBAHE.
| 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.