Organization Active NPI

Fuquay Urgent Care & Family Clinic Inc.

  • General Practice Physician
  • Fuquay-Varina, NC
National Provider Identifier
1336235225
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jan 24, 2011

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
015A6OtherNCBCBS OF NC GROUP NUMBER
7675656OtherAETNA
89015A6MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.