Active NPI
Fuquay Urgent Care & Family Clinic Inc.
- General Practice Physician
- Fuquay-Varina, NC
National Provider Identifier
1336235225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- FUQUAY URGENT CARE & FAMILY CLINIC INC.
- Practice address
- 1418 N. Main St.
Fuquay-Varina, NC 27526-8901 - Phone
- (919) 552-1733
- Fax
- (919) 552-1495
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Katrina A. Catto
- Title
- VP of Practice Services
- Phone
- (919) 550-0821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
1418 N. Main St.
Fuquay-Varina, NC 27526-8901
Mailing address
935 Shotwell Rd.
Suite 108
Clayton, NC 27520-5597
Phone (919) 550-0821
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015A6 | Other | NC | BCBS OF NC GROUP NUMBER |
| 7675656 | Other | AETNA | |
| 89015A6 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Clayton, NC
- NPI 1629141296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295827200000",
"number": "1336235225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 SHOTWELL RD.",
"address_2": "SUITE 108",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275205597",
"telephone_number": "919-550-0821",
"fax_number": "919-550-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 N. MAIN ST.",
"city": "FUQUAY-VARINA",
"state": "NC",
"postal_code": "275268901",
"telephone_number": "919-552-1733",
"fax_number": "919-552-1495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUQUAY URGENT CARE & FAMILY CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2011-01-24",
"status": "A",
"authorized_official_last_name": "CATTO",
"authorized_official_first_name": "KATRINA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "VP OF PRACTICE SERVICES",
"authorized_official_telephone_number": "919-550-0821",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC GROUP NUMBER",
"identifier": "015A6",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7675656",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015A6",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay-Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.