Individual provider Active NPI

Vanessa Yap Banares

  • Physical Medicine & Rehabilitation Physician
  • Raleigh, NC
National Provider Identifier
1174356133
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
010515 Issued in NY
Practice address
3305 Sungate Blvd
Raleigh, NC 27610-2871
Phone
(919) 212-0129
NPI assigned
Aug 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 010515 NY Primary

Addresses

Primary practice location

3305 Sungate Blvd
Raleigh, NC 27610-2871

Mailing address

2460 Everstone Rd
Wake Forest, NC 27587-3460
Phone (919) 889-6137

Other practice location 1

WEST SUITES 100 AND 11618,US-70 Business #200
Clayton, NC 27520
Phone (919) 416-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1174356133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 EVERSTONE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873460",
            "telephone_number": "919-889-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 SUNGATE BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102871",
            "telephone_number": "919-212-0129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "WEST SUITES 100 AND 11618,US-70 Business #200",
            "address_purpose": "LOCATION",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "country_code": "US",
            "telephone_number": "919-416-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANARES",
        "first_name": "VANESSA",
        "middle_name": "YAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "010515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.