WELLLIFE PRIMARY CARE (NPI# 1316292907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316292907 |
| Entity Type | Organization |
| Organization Name | WELLLIFE PRIMARY CARE |
| Practice Address |
211 E Six Forks Rd Suite 122 Raleigh NC 27609-7745 |
| Mailing Address |
211 E. Six Forks Rd Suite 122 Raleigh NC 27609 |
| Practice Telephone | 9198291315 |
| Mailing Telephone | 9198291315 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DWAN KELSEY (OWNER) |
| Authorized Official Telephone | 9198291315 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
136549 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336401058 | Welllife Primary Care | Nurse Practitioner | 211 E Six Forks Rd, Suite 122, Raleigh, NC 27609-7745 | 2012-06-08 |
| Street Address |
211 E SIX FORKS RD SUITE 122 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226990 | Robertson Williams Buck Jr. | Counselor | 211 E Six Forks Rd, Suite 210-b, Raleigh, NC 27609-7745 | 2005-12-15 |
| 1821522145 | Megan Davis | Counselor | 211 E Six Forks Rd, Suite 117, Raleigh, NC 27609-7745 | 2017-04-13 |
| 1417401431 | Doreen Runyon | Counselor | 211 E Six Forks Rd, Raleigh, NC 27609-7745 | 2016-08-08 |
| 1215480173 | Michael Lazar | Counselor | 211 E Six Forks Rd, Suite 117, Raleigh, NC 27609 | 2016-07-27 |
| 1881060747 | William Ingraham | Counselor | 211 E Six Forks Rd, 117, Raleigh, NC 27609-7745 | 2015-08-14 |
| 1760725378 | Kimberly Jean Harrison | Counselor | 211 E Six Forks Rd, Suite 117, Raleigh, NC 27609-7745 | 2013-04-02 |
| 1497010771 | Welllife House Calls | Clinic/Center | 211 E Six Forks Rd, Suite 122, Raleigh, NC 27609-7745 | 2012-07-11 |
| 1336401058 | Welllife Primary Care | Nurse Practitioner | 211 E Six Forks Rd, Suite 122, Raleigh, NC 27609-7745 | 2012-06-08 |
| 1649555772 | Reaching Your Goals Personal Care Services, Lkc | Home Health | 211 E Six Forks Rd, Raleigh, NC 27609-7745 | 2011-10-20 |
| 1861776478 | Dream Works 2 Clinic | Community/Behavioral Health | 211 E Six Forks Rd, Suite 122, Raleigh, NC 27609-7745 | 2011-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003326802 | Essential Health & Wellness Raleigh | Clinic/Center | 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 | 2017-10-05 |
| 1932571809 | Horizon Family Medicine | Clinic/Center | 308 S Blount St, Apartment 403, Raleigh, NC 27601-3102 | 2015-10-30 |
| 1093146177 | Med One | Clinic/Center | 2431 Spring Forest Rd Ste 111, Raleigh, NC 27615-7525 | 2013-11-27 |
| 1255771119 | Neighborhealth Center, Inc. | Clinic/Center | 4201 Lake Boone Trl Ste 5, Raleigh, NC 27607-7511 | 2013-06-25 |
| 1821266198 | Octavian M. Belcea, Md Pa | Clinic/Center | 2810 Wakefield Pines Dr Ste 115, Raleigh, NC 27614-7078 | 2008-02-20 |
| 1861678120 | Daniel T Sicking Md Pa | Clinic/Center | 14341 New Falls of Neuse Ste 100, Raleigh, NC 27614-8292 | 2008-01-17 |
| 1649352162 | Smartcare Operations Group, Inc. | Clinic/Center | 6140 Falls of The Neuse Road, Raleigh, NC 27609 | 2006-10-20 |
| 1871121269 | Bethany Shaffer Flinchum | Clinic/Center | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2020-03-31 |
| 1639617392 | Private Diagnostic Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-02-02 |
| 1477099471 | Private Diagnositc Clinic | Clinic/Center | 10211 Alm St, Suite 200, Raleigh, NC 27617-8221 | 2017-01-13 |
| Find all providers in RALEIGH | ||||
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| 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.