WELLVANA LLC
NPI 1588451249
Nurse Practitioner in O'fallon, MO

Q: What is Wellvana LLC's NPI number?

The NPI number for Wellvana LLC is 1588451249. It was assigned to this organization in the NPPES registry on April 24, 2025.

Q: What is Wellvana LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Wellvana LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 24, 2025

2930 SSR-K, O'FALLON, MO 63368(281) 881-6293 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Wellvana Llc NPPES

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

WELLVANA LLC (NPI 1588451249) is a healthcare organization registered as a nurse practitioner in O'fallon, Missouri and active in the NPI registry since April 2025. The organization lists Heather Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1588451249

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameWELLVANA LLC

Location Address2930 SSR-KO'fallon, MO 63368

Mailing Address405 Kedron Valley CtSaint Charles, MO 63304-7635 · (281) 881-6293

Phone(281) 881-6293

Organization SubpartNo

Authorized OfficialHeather DavisOwner · (281) 881-6293

Enumeration DateApril 24, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1588451249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2930 SSR-K, O'fallon, MO 63368

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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

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 Wellvana LLC's NPI number?

The NPI number for Wellvana LLC is 1588451249. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Wellvana LLC located?

Wellvana LLC is located at 2930 Ssr-K, O'fallon, MO 63368. The listed phone number is (281) 881-6293.

What is Wellvana LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Wellvana LLC was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.