Active NPI
Wilmer Conrad Betts III, FNP
- Family Nurse Practitioner
- Cary, NC
National Provider Identifier
1275674707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200353
- Practice address
- 100 Sas Campus Dr
Cary, NC 27513-2414 - Phone
- (919) 531-9168
- Fax
- (919) 654-3800
- NPI assigned
- Feb 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200353 | NC | Primary |
Addresses
Primary practice location
100 Sas Campus Dr
Cary, NC 27513-2414
Mailing address
100 Sas Campus Dr
Cary, NC 27513-2414
Phone (919) 531-9168
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200353 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275674707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SAS CAMPUS DR",
"city": "CARY",
"state": "NC",
"postal_code": "275132414",
"telephone_number": "919-531-9168",
"fax_number": "919-654-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SAS CAMPUS DR",
"city": "CARY",
"state": "NC",
"postal_code": "275132414",
"telephone_number": "919-531-9168",
"fax_number": "919-654-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "WILMER",
"middle_name": "CONRAD",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.