Western Wake Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WESTERN WAKE WELLNESS

Practice address

401 Keisler Dr
Suite 101
Cary, NC 27518-7084

Phone

(919) 378-1492

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Darlene Nagel

Title

Practice Manager

Phone

(919) 378-1492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEJBDA

Practitioners 6

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

• Arbaz Ahmad, NP

  • Primary Care Nurse Practitioner
  • Cary, NC
  • NPI 1861171670
  Medicare reassignment Care Compare group NPD
• Zachary M Wiercinski, NP

  • Primary Care Nurse Practitioner
  • Cary, NC
  • NPI 1649996620
  Medicare reassignment Care Compare group NPD
• Cynthia Cerise Young, MD

  • Family Medicine Physician
  • Cary, NC
  • NPI 1811910870
  Medicare reassignment Care Compare group NPD
• Ivy Todd

  • Physician Assistant
  • Cary, NC
  • NPI 1871914366
  Medicare reassignment Care Compare group
• Mary Margaret Rockers Tyni, NP

  • Adult Medicine Physician
  • Durham, NC
  • NPI 1295409035
  Medicare reassignment NPD
• Jessica Lynn Pulling, PNP

  • Pediatric Nurse Practitioner
  • Cary, NC
  • NPI 1710263744
  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1598149502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-378-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR",
            "address_2": "SUITE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187084",
            "telephone_number": "919-378-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WAKE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "NAGEL",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "919-378-1492"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Wake Internal Medicine
• Western Wake Internal Medicine
• Western Wake Medical Associates, PLLC
• Western Wake Pediatrics, PA
• Western Wake Surgical PC
• Taniya Westmoreland, BEHAVIOR TECHNICIAN
• Anna Whalen
• Deborah Ward Whalen, MPT
• Hillary Wheeler, PHARMD
• Joelean Isabella Wheeler

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.