NPIMap

Organization Active NPI

Wellness Family Practice, PA

  • Family Medicine Physician
  • Cary, NC
National Provider Identifier
1285844662
Registry record updated Jun 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32201 Issued in NC
Legal business name
WELLNESS FAMILY PRACTICE, PA
Practice address
100 Ridge View Dr
Suite 105
Cary, NC 27511-5589
Phone
(919) 859-7044
Fax
(919) 859-7052
NPI assigned
May 23, 2007
Last updated
Jun 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2009

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

Authorized official

Name
Kati E Dessauer, MDNPI 1306832563
Title
Doctor
Phone
(919) 859-7044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32201 NC Primary

Addresses

Primary practice location

100 Ridge View Dr
Suite 105
Cary, NC 27511-5589

Mailing address

100 Ridge View Dr
Suite 105
Cary, NC 27511-5589
Phone (919) 859-7044

Other identifiers 6

IdentifierTypeStateIssuer
1092658008OtherNCCIGNA
58364OtherNCBCBS
C0514OtherNCMEDCOST
1306832563OtherNCNPI #
4352699OtherNCAETNA
1409466OtherNCUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244764800000",
    "number": "1285844662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-859-7044",
            "fax_number": "919-859-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RIDGE VIEW DR",
            "address_2": "SUITE 105",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115589",
            "telephone_number": "919-859-7044",
            "fax_number": "919-859-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY PRACTICE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-06-12",
        "status": "A",
        "authorized_official_last_name": "DESSAUER",
        "authorized_official_first_name": "KATI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "919-859-7044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1092658008",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58364",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C0514",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1306832563",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4352699",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1409466",
            "state": "NC"
        }
    ],
    "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 Jun 12, 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.