360 WELLNESS & NUTRITION, PA
NPI 1316603285
Family Medicine in Wilson, NC
About 360 Wellness & Nutrition, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
360 WELLNESS & NUTRITION, PA (NPI 1316603285) is a healthcare organization registered as a family medicine in Wilson, North Carolina and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Renu Kasula, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2250694
360 Wellness & Nutrition, PA · Wilson, NCOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILSON, NC 27893
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 360 Wellness & Nutrition, PA's NPI number?
The NPI number for 360 Wellness & Nutrition, PA is 1316603285. It was assigned to this organization in the NPPES registry on November 15, 2021.
Where is 360 Wellness & Nutrition, PA located?
360 Wellness & Nutrition, PA is located at 1704 Glendale Dr SW, Wilson, NC 27893. The listed phone number is (252) 237-1225.
What is 360 Wellness & Nutrition, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Does 360 Wellness & Nutrition, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2250694) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for 360 Wellness & Nutrition, PA was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 360 Wellness & Nutrition, Pa · NPI 1316603285
Family Medicine organization in Wilson, North Carolina. Organization record, active in the CMS NPPES registry since November 15, 2021.
## Identity
- **NPI:** 1316603285 (Entity type: Organization)
- **Enumerated:** November 15, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Renu Kasula, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 1704 GLENDALE DR SW, Wilson, NC 27893-4678
- **Phone:** (252) 237-1225
## Record status
- **NPPES last updated:** April 13, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316603285) · Data from the CMS NPPES public registry.