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SELF WELLNESS & HEALTH
NPI 1902578479
Nurse Practitioner in Winston Salem, NC

Active since October 01, 2021
4134 MACARTHUR ST, WINSTON SALEM, NC 27107(336) 399-7716 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Oct 1, 2021 (2 updates tracked since 2021).

About Self Wellness & Health NPPES

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

SELF WELLNESS & HEALTH (NPI 1902578479) is a healthcare organization registered as a nurse practitioner in Winston Salem, North Carolina and active in the NPI registry since October 2021. The organization maintains a secondary practice location in Houston and lists Tracy Gaffney, Owner, as its authorized official.

NPPES Registry Identity

NPI1902578479
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSELF WELLNESS & HEALTH
Location Address4134 MACARTHUR STWinston Salem, NC 27107-6124
Mailing Address3601 Ebert Ct Apt 200cWinston Salem, NC 27127-5790 · (336) 399-7716
Phone(336) 399-7716
Organization SubpartNo
Authorized OfficialTracy GaffneyOwner · (336) 399-7716
Enumeration DateOctober 1, 2021
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1902578479 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.
4134 MACARTHUR ST, Winston Salem, NC 27107
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Secondary Practice Location 1

Location 13525 W Holcombe BlvdHouston, TX 77025-1313 · Phone (713) 814-2800

Other Identifiers 1

Other1548756547NC · Npi

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

Other Providers at the Same Location NPPES

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

SELF WELLNESS & HEALTH, PLLC
Nurse Practitioner (Family)
4134 MACARTHUR ST
WINSTON SALEM, NC 27107
Forsyth County (336) 399-7716

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 Self Wellness & Health's NPI number?

The NPI number for Self Wellness & Health is 1902578479. It was assigned to this organization in the NPPES registry on October 1, 2021.

Where is Self Wellness & Health located?

Self Wellness & Health is located at 4134 Macarthur St, Winston Salem, NC 27107. The listed phone number is (336) 399-7716.

What is Self Wellness & Health'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 Self Wellness & Health was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.