Organization Active NPI

Ember Massage and Wellness, LLC

  • Multi-Specialty Clinic/Center
  • Fuquay Varina, NC
National Provider Identifier
1043173412
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
EMBER MASSAGE AND WELLNESS, LLC
Practice address
2912 N Main St Ste 116
Fuquay Varina, NC 27526-5499
Phone
(919) 762-6023
NPI assigned
Dec 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary Catherine Rodriguez, LMBTNPI 1467315820
Title
Owner
Phone
(919) 762-6023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2912 N Main St Ste 116
Fuquay Varina, NC 27526-5499

Mailing address

563 Lennie Smith Rd
Fuquay Varina, NC 27526-8814
Phone (910) 391-1039

National Provider Directory

National Provider Directory

Locations

2912 N Main St
Ste 116
Fuquay Varina, NC 27526
Phone (919) 762-6023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1043173412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 LENNIE SMITH RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275268814",
            "telephone_number": "910-391-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 N MAIN ST STE 116",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265499",
            "telephone_number": "919-762-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBER MASSAGE AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-762-6023",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.