WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI# 1891797049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891797049 |
Entity Type | Organization |
Organization Name | WAKE NEPHROLOGY ASSOCIATES, P.A. |
Practice Address |
3604 Bush St Raleigh NC 27609-7511 |
Practice Telephone | 9198767807 |
Practice Fax Number | 9198768823 |
Mailing Telephone | 9198767807 |
Mailing Fax Number | 9198768823 |
Enumeration Date | 2005-06-01 |
Last Update Date | 2011-03-23 |
Authorized Official Name | MRS. JAMIE KENDRA FRICKE (PRACTICE MANAGER) |
Authorized Official Telephone | 9198767807 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | 31375 | NC | Other Service Providers |
N | 174400000X | Specialist | 23576 | NC | Other Service Providers |
N | 174400000X | Specialist | 23533 | NC | Other Service Providers |
N | 174400000X | Specialist | 34410 | NC | Other Service Providers |
N | 174400000X | Specialist | 9500252 | NC | Other Service Providers |
N | 174400000X | Specialist | 200100423 | NC | Other Service Providers |
N | 174400000X | Specialist | 200200682 | NC | Other Service Providers |
Y | 174400000X | Specialist | 9800209 | NC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 7902997 | 05 | |
NC | 8947988 | 05 | |
NC | 6973447 | 05 |
Street Address |
3604 BUSH ST |
City | RALEIGH |
State | NC |
Zip Code | 27609-7511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770901993 | Sarah Mistrot | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2014-04-03 |
1508299777 | Shannon Joan Clark | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2013-08-12 |
1568718336 | Nanci Jacqulyn Sullivan-blackert | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2012-07-31 |
1699069948 | Robert Edward Olivo | Internal Medicine | 3604 Bush St, Raleigh, NC 27609-7511 | 2011-06-03 |
1679885107 | Lori Michelle Haskins | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2010-07-13 |
1376602391 | Deborah B Berg | Dietitian, Registered | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-12-06 |
1780796508 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-08-31 |
1386752228 | Jacqueline Suzanne Sebastian | Nurse Practitioner | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-08-29 |
1366470791 | Donna Antonia Theodore | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-28 |
1689612442 | Jessica J Oneill | Physician Assistant | 3604 Bush St, Raleigh, NC 27609-7511 | 2006-06-03 |
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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 | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417590290 | Sarah Lyn Granahan | Specialist | 107 Windel Dr Ste 205, Raleigh, NC 27609-4471 | 2019-10-23 |
1629540323 | Sieara Kearney | Specialist | 5503 Metedeconk Ln, Raleigh, NC 27604-5404 | 2018-12-19 |
1821480872 | Sharon Hahn | Specialist | 6728 Eastbrook Dr, Raleigh, NC 27615-7309 | 2015-02-27 |
1184030611 | Life Without Limits Coaching and Counseling Pllc | Specialist | 841 Oxen Cir, Raleigh, NC 27603-9165 | 2014-07-04 |
1083029383 | Village Hands Foundation | Specialist | 5808 Departure Dr Ste 101, Raleigh, NC 27616-1934 | 2014-06-25 |
1346584620 | Danielle Blackwell | Specialist | 723 Saint Marys St, Raleigh, NC 27605-1424 | 2012-11-27 |
1053686113 | Duraleigh Gynecology Pa | Specialist | 2800 Blue Ridge Rd Ste 210, Raleigh, NC 27607-6477 | 2012-03-21 |
1578831541 | Christopher Mcclain | Specialist | 1630 Claiborne Ct, Raleigh, NC 27606-4603 | 2011-12-06 |
1720366610 | Bonny Reid | Specialist | 3122 Tanager St, Raleigh, NC 27606-3641 | 2011-07-27 |
1619276318 | Wakehealth Medical Group, Pa. | Specialist | 13200 New Falls of Neuse Rd, Ste 113, Raleigh, NC 27614-8239 | 2011-03-21 |
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.