Welllife House Calls

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

136549 Issued in NC

Legal business name

WELLLIFE HOUSE CALLS

Practice address

211 E Six Forks Rd
Suite 122
Raleigh, NC 27609-7745

Phone

(919) 829-1315

NPI assigned

Jul 11, 2012

Organization subpart

No

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

Authorized official

Name

Dwan Kelsey, NPNPI 1629297429

Title

Owner

Phone

(919) 829-1315

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Dwan Kelsey, NP

  • Adult Health Nurse Practitioner
  • Cary, NC
  • NPI 1629297429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1497010771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD",
            "address_2": "SUITE 122",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097745",
            "telephone_number": "919-829-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLLIFE HOUSE CALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "DWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-829-1315",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "136549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Care Home Health of the Triangle, Inc
• Patricia Kirkland Wellborn, MD
• Wellcare Health Insurance of North Carolina, Inc
• Abigail Weller, BSN, RNC-OB
• Wellington Provider Group PC
• Welllife Primary Care
• Welllife Primary Care
• Welllife:a Diabetes Clinic and Educational Resource Center
• Danielle Lemuth Wellman, MD
• Wellness & Transport Services, LLC

• Primary Care Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.