MR. WILLIAM HENRY WENDT IV (NPI# 1194105932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194105932 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM HENRY WENDT IV |
| Practice Address |
4420 Lake Boone Trl Raleigh NC 27607-7505 |
| Mailing Address |
2800 Blue Ridge Rd Suite 400 Raleigh NC 27607-6478 |
| Practice Telephone | 9197843100 |
| Mailing Telephone | 9197875380 |
| Mailing Fax Number | 9197845605 |
| Enumeration Date | 2015-06-07 |
| Last Update Date | 2015-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5007651 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316156 | William Terry Wendt | Marriage & Family Therapist | 4400 E Highway 20 Ste 306, Niceville, FL 32578-7703 | 2020-02-03 |
| 1003304890 | William Edward Wendt | Behavior Technician | 1711 E Central Texas Expy Ste 300e, Killeen, TX 76541-9147 | 2018-04-26 |
| Street Address |
4420 LAKE BOONE TRL |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035405 | Karen Kinney Schneider | Nurse Practitioner | 4420 Lake Boone Trl, Wound Healing Center, Raleigh, NC 27607-7505 | 2005-07-05 |
| 1700486685 | Cameron Blake Little | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-10-29 |
| 1942811278 | Whitney Dale Marks | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-08-11 |
| 1447869359 | Daneille Barbara Hamlin | Audiologist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-07-27 |
| 1427675057 | Robert Brinson Mitchell IIi | Nurse Anesthetist, Certified Registered | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-30 |
| 1912523457 | Driss Zine | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-06-21 |
| 1619599081 | Kai Kang | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-05-08 |
| 1487281671 | Allison Tharakan | Pharmacist | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-26 |
| 1598391435 | Gerald Shane Taylor | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-22 |
| 1982230140 | Catherine Parks Chantrill | Registered Nurse | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979730 | Noemi Garza | Nurse Practitioner | 5720 Creedmoor Rd Ste 200, Raleigh, NC 27612-2382 | 2019-08-28 |
| 1497219174 | Quality Healthcare Solutions | Nurse Practitioner | 4701 Forest Highland Dr, Raleigh, NC 27604-8430 | 2019-01-26 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1487995635 | Benjamin Harrison | Nurse Practitioner | 10940 Hamilton Club Dr Apt 302, Raleigh, NC 27617-7798 | 2013-03-13 |
| 1407159767 | Angela Michelle Marchmon | Nurse Practitioner | 6713 Jean Dr, Raleigh, NC 27612-6810 | 2010-12-08 |
| 1164414538 | Reagan L Bell | Nurse Practitioner | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2005-08-22 |
| 1972054211 | Claire Gere Reynolds | Nurse Practitioner | 3404 Wake Forest Rd, 202, Raleigh, NC 27609-7340 | 2016-10-21 |
| 1194106989 | Kimberly Ann Bagley | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2015-06-17 |
| 1265854491 | Matthew Feinberg | Nurse Practitioner | 1500 Sunday Dr Ste 200, Raleigh, NC 27607-5151 | 2014-01-07 |
| 1710228978 | Elyse Goldberg | Nurse Practitioner | 3024 New Bern Ave, Suite 301, Raleigh, NC 27610-1247 | 2013-03-12 |
| Find all providers in RALEIGH | ||||
Please comment or provide details below to improve the information on MR. WILLIAM HENRY WENDT IV.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.