{
"Npi": {
"NPI": "1851205348",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ZAVARI HEALTH AND WELLNESS PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1452 DEVON DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRIMESLAND",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27837-9245",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "954-397-6796",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3105 EVANS ST STE E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27834-6899",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "252-591-6036",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/30/2026",
"LastUpdateDate": "09/30/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "EDOO",
"AuthorizedOfficialFirstName": "VENITA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MANAGING MEMBER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP-C",
"AuthorizedOfficialTelephoneNumber": "954-397-6796",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LP2300X",
"TaxonomyName": "Primary Care Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}