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WAKE NEPHROLOGY ASSOCIATES, P.A. , NPI 1891797049

Specialist in RALEIGH, NC

Last Updated on : Mar 23,2011

About WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI 1891797049)


WAKE NEPHROLOGY ASSOCIATES, P.A. is a Specialist in RALEIGH, United States

1891797049 is NPI number of WAKE NEPHROLOGY ASSOCIATES, P.A..

WAKE NEPHROLOGY ASSOCIATES, P.A.'s primary taxonomy code based on NPI Lookup is 174400000X with license number 9800209. This taxonomy code refers to Specialist.

WAKE NEPHROLOGY ASSOCIATES, P.A. current practice location address is 3604 BUSH ST, RALEIGH, NC. WAKE NEPHROLOGY ASSOCIATES, P.A. can be reached out via phone at 919-876-7807 and via fax at 919-876-8823 .

You can also correspond with WAKE NEPHROLOGY ASSOCIATES, P.A. through mail at mailing address 3604 BUSH ST, RALEIGH, NC, United States. Mailing address contact number is 919-876-7807.

The enumeration date of WAKE NEPHROLOGY ASSOCIATES, P.A. is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 11 years ago.

The authorized official of WAKE NEPHROLOGY ASSOCIATES, P.A. is Jamie Fricke (Practice Manager). Jamie Fricke can be reached at 9198767807.

1891797049 NPI Information

Name WAKE NEPHROLOGY ASSOCIATES, P.A.
National Provider Id (NPI) 1891797049
Entity Type Organization
Practice Address 3604 BUSH ST,
RALEIGH, NC, United States
Practice Telephone 919-876-7807
Practice Fax Number 919-876-8823
Mailing Address 3604 BUSH ST ,
RALEIGH, NC, United States
Mailing Telephone 919-876-7807
Mailing Fax Number 919-876-8823
Enumeration Date 01-Jun-2005
Last Updated Date 23-Mar-2011

WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI 1891797049) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 174400000X Specialist 9800209 NC

WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI 1891797049) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 174400000X Specialist 31375 NC
N 174400000X Specialist 23576 NC
N 174400000X Specialist 23533 NC
N 174400000X Specialist 34410 NC
N 174400000X Specialist 9500252 NC
N 174400000X Specialist 200100423 NC
N 174400000X Specialist 200200682 NC

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
0865 MEDICARE ID-Type Unspecified (04) NC Group Number
2037970 MEDICARE ID-Type Unspecified (04) NY Medicare Provider Number
207775B MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
210045 MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
2158714 MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
2161684 MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
2216087A MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
2284903 MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
2285829 MEDICARE ID-Type Unspecified (04) NC Medicare Provider Number
6973447 MEDICAID (05) NC
7902997 MEDICAID (05) NC
8947988 MEDICAID (05) NC
C88532 MEDICARE UPIN (02) NC
D46166 MEDICARE UPIN (02) NC
D62808 MEDICARE UPIN (02) NC
E78745 MEDICARE UPIN (02) NC
I26516 MEDICARE UPIN (02) NC
G14096 MEDICARE UPIN (02) NC
H34073 MEDICARE UPIN (02) NC
H36927 MEDICARE UPIN (02) NC

WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI 1891797049) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1316004344 KRIS VARRICHIO STRONG Social Worker, Clinical 9617 WHITE CARRIAGE DRIVE,
WAKE FORSET, NC, United States
02-Jan-2007
1235274150 NATIONAL MENTOR HEALTHCARE, LLC Public Health or Welfare 1708 S MEBANE ST, SUITE 302
BURLINGTON, NC, United States
20-Feb-2007
1447572193 APRIL ROBERTS Physical Therapy Assistant 3605 RALEIGH CHAPEL RD,
RALEIGH, IL, United States
23-Feb-2010
1285989673 JASON K BRANNOCK Pharmacist 565 KAREL PARK RD,
RALEIGH, IL, United States
21-Jul-2012
1366775025 ANGELA K OGLESBY Occupational Therapist 1489 HAMBURG RD,
RALEIGH, IL, United States
14-Sep-2009
1275837973 KACIE JONES YEAGER Nurse Anesthetist, Certified Registered 2500 NORTH STATE STREET,
RALEIGH, MS, United States
10-Jan-2011
1609013226 CAROL DARLENE RICHMOND-STEPHENS Nurse Practitioner, Family PO BOX 24116,
JACKSON, MS, United States
20-Jan-2009
1437298411 GUARDIAN ANGEL HEALTHCARE INC., II General Acute Care Hospital 41 SOUTH HALL ROAD,
MORTON, MS, United States
06-Feb-2007
1174820765 GUARDIAN ANGEL HEALTHCARE INC., II Clinic/Center, Rural Health 347 MAGNOLIA DR,
RALEIGH, MS, United States
17-Feb-2011
1326180886 JOHN KUZIEL Counselor, Professional 3350 SALT CREEK LANE, SUITE 114
ARLINTONG HEIGHTS, IL, United States
13-Feb-2007
1326178203 SMITH COUNTY LTC, LLC Nursing Facility/Intermediate Care Facility 309 MAGNOLIA DRIVE, P. O. BOX 128
RALEIGH, MS, United States
07-Mar-2007
1063683472 STEPHANIE SULLIVAN TULLOS Dentist 276 MAGNOLIA DR,
RALEIGH, MS, United States
13-Mar-2008
1689259137 DOROTHY NICOLE DUCKWORTH Physical Therapy Assistant 142 COLD SPRINGS RD,
SEMINARY, MS, United States
16-Mar-2021
1659956993 KRISTY SUSAN AMASON Speech-Language Pathologist, 12 NORTHTOWN DR # 110,
JACKSON, MS, United States
17-Mar-2021
1821673195 BRITTNEY BETH COLVIN Occupational Therapy Assistant 309 MAGNOLIA DR,
RALEIGH, MS, United States
17-Mar-2021
1144586827 REGION TEN COMMISSION ON MENTAL HEALTH Clinic/Center, Adult Mental Health 355 HWY 37 SOUTH,
RALEIGH, MS, United States
06-Apr-2012
1497173942 RALEIGH FAMILY HEALTH CLINIC PLLC Clinic/Center, Primary Care 234 MAGNOLIA DR,
RALEIGH, MS, United States
02-Apr-2014
1376284752 KIMBERLY SHARELLE WATKINS Nurse Practitioner, Family 249 GEORGE RD,
FOREST, MS, United States
07-Apr-2022
1770605974 MCGUFFEE DRUGS INC Durable Medical Equipment & Medical Supplies 122 MAIN ST,
RALEIGH, MS, United States
06-Apr-2007
1528201571 CORA MELISSA EASTERLING Speech-Language Pathologist, 13 NORTHTOWN DR, SUITE 110
JACKSON, MS, United States
07-Apr-2009

FAQs

Whose NPI Number is 1891797049?

1891797049 is the NPI number of WAKE NEPHROLOGY ASSOCIATES, P.A..

Where is WAKE NEPHROLOGY ASSOCIATES, P.A. located?

WAKE NEPHROLOGY ASSOCIATES, P.A. is located at 3604 BUSH ST, RALEIGH, NC.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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