Jill C Vanarthos, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101524 Issued in NC

Practice address

4505 Fair Meadows LN
Raleigh, NC 27607-6465

Phone

(919) 571-4391

Fax

(919) 571-8968

NPI assigned

Aug 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wake Medical Associates, P.a.

  • Public Health & General Preventive Medicine Physician
  • Raleigh, NC
  • NPI 1720192651
  NPD (past)

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063937415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-571-4391",
            "fax_number": "919-571-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FAIR MEADOWS LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076465",
            "telephone_number": "919-571-4391",
            "fax_number": "919-571-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARTHOS",
        "first_name": "JILL",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Van Schaik, PT
• Tracy L Van Steen
• Shelby Lynn Van Wagoner, FNP-C
• Matthew Ryan Van, PSY.D.
• Jagriti Vanam, DDS
• William James Vanarthos, M.D.
• Joana Hermina Vanboven, PA-S
• Amy Lissette Vance Rico
• Kayla Marie Vance, LCMHCA
• Lindsay Vandenbroeck

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.