WAKE NEPHROLOGY ASSOCIATES, P.A.


Address: 3604 Bush St, Raleigh, NC 27609-7511
Phone: 9198767807

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NC 7902997 05
NC 8947988 05
NC 6973447 05

Office Location

Street Address 3604 BUSH ST
City RALEIGH
State NC
Zip Code 27609-7511

Providers in the same location

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
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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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

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.

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