Organization Active NPI

Carolina Foot & Wellness PA

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1578467155
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CAROLINA FOOT & WELLNESS PA
Practice address
2402 S Miami Blvd Ste 201
Durham, NC 27703-4928
Phone
(910) 904-6600
Fax
(910) 904-1810
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Carol Keeler
Title
HR Manager
Phone
(910) 929-6944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

2402 S Miami Blvd Ste 201
Durham, NC 27703-4928

Mailing address

402 S Main St
Raeford, NC 28376-3223
Phone (910) 929-6944

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1578467155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763223",
            "telephone_number": "910-929-6944",
            "fax_number": "910-248-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 S MIAMI BLVD STE 201",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277034928",
            "telephone_number": "910-904-6600",
            "fax_number": "910-904-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA FOOT & WELLNESS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "HR MANAGER",
        "authorized_official_telephone_number": "910-929-6944"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.