NOIR WELL MOBILE ADULT HEALTH, NP, PC
NPI 1487379475
Nurse Practitioner - Primary Care in Brooklyn, NY

Active since October 11, 2022CLIA 33D2326360 · Waiver
412 EVERGREEN AVE FL 1, BROOKLYN, NY 11221(347) 413-5025 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2025, Oct 11, 2022 (2 updates tracked since 2022).

About Noir Well Mobile Adult Health, Np, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NOIR WELL MOBILE ADULT HEALTH, NP, PC (NPI 1487379475), doing business as Noir Well Health, is a healthcare organization registered as a primary care in Brooklyn, New York and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Annita Malinda Tayor, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1487379475
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameNOIR WELL MOBILE ADULT HEALTH, NP, PC
Location Address412 EVERGREEN AVE FL 1Brooklyn, NY 11221-6606
Mailing Address2978 Avenue W Apt 3bBrooklyn, NY 11229-5317 · (347) 413-5025
Organization SubpartNo
Authorized OfficialAnnita Malinda TayorNp/owner · (718) 753-9141
Enumeration DateOctober 11, 2022
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
NPI 1487379475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedNurse Practitioner · Occupational HealthTaxonomy 363LX0106X
412 EVERGREEN AVE FL 1, Brooklyn, NY 11221

Other Names 1

Doing Business AsNoir Well Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D2326360

Noir Well Mobile Adult Health Np PC · Brooklyn, NY
Active · expires Jul 1, 2027
CLIA Number33D2326360
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorAnnita M. Taylor
Laboratory Phone(718) 316-5444
Laboratory LocationNoir Well Mobile Adult Health Np PC412 Evergreen Ave Fl 1, Brooklyn, NY 11221
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
412 EVERGREEN AVE FL 1
BROOKLYN, NY 11221

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 Noir Well Mobile Adult Health, Np, PC's NPI number?

The NPI number for Noir Well Mobile Adult Health, Np, PC is 1487379475. It was assigned to this organization in the NPPES registry on October 11, 2022. The provider is doing business as Noir Well Health.

Where is Noir Well Mobile Adult Health, Np, PC located?

Noir Well Mobile Adult Health, Np, PC is located at 412 Evergreen Ave Fl 1, Brooklyn, NY 11221. The listed phone number is (347) 413-5025.

What is Noir Well Mobile Adult Health, Np, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Noir Well Mobile Adult Health, Np, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2326360) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Noir Well Mobile Adult Health, Np, PC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.