Welllife:a Diabetes Clinic and Educational Resource Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

900229 Issued in NC

Legal business name

WELLLIFE:A DIABETES CLINIC AND EDUCATIONAL RESOURCE CENTER

Practice address

331 Tryon Rd Ste 103a
Raleigh, NC 27603-3583

Phone

(919) 624-6533

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dwan Thompson Kelsey, NURSE PRACTITIONER

Title

Ceo

Phone

(919) 624-6533

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1255526224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 TRYON RD STE 103A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033583",
            "telephone_number": "919-624-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 TRYON RD STE 103A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033583",
            "telephone_number": "919-624-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE:A DIABETES CLINIC AND EDUCATIONAL RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "DWAN",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-624-6533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "900229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Weller, BSN, RNC-OB
• Wellington Provider Group PC
• Welllife House Calls
• Welllife Primary Care
• Welllife Primary Care
• Danielle Lemuth Wellman, MD
• Wellness & Transport Services, LLC
• Wellness Associates PLLC
• Wellness Health Resources
• Wellness Home Care Services Inc

• Health Service Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.