Individual provider Active NPI

Datanya Y Betts, NP

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1639501539
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006305 Issued in NC
Practice address
Live Well Primary Care
4064 Barrett Dr Unit 9a
Raleigh, NC 27609
Phone
(919) 803-4188
Fax
(919) 803-4117
NPI assigned
Aug 1, 2013
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006305 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5006305 NC

Addresses

Primary practice location

Live Well Primary Care
4064 Barrett Dr Unit 9a
Raleigh, NC 27609

Mailing address

Live Well Primary Care
4064 Barrett Dr Unit 9a
Raleigh, NC 27609-8095
Phone (919) 803-4188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402002003 NC Practitioner - Nurse Practitioner 1951532092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1760 Parkwood Blvd W
Wilson, NC 27893-3679
Phone (919) 269-9300

3904 Airport Dr NW
Suite a
Wilson, NC 27896-8040
Phone (919) 239-9300

4822 Six Forks Rd
Suite 104
Raleigh, NC 27609-5269
Phone (919) 618-5772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006305NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Community Resources, Incorporated CurrentSince Mar 1, 2020 Accepting new patients
Stepping Stones Community Resources, Incorporated CurrentSince Mar 1, 2020 Accepting new patients
Inner Peace Community Support Services LLC CurrentSince May 11, 2014 Accepting new patients
Live Well Primary Care CurrentSince Jan 16, 2018 Accepting new patients

Locations

3005 Village Park Dr
Ste 204
Knightdale, NC 27545
Phone (919) 366-6258

4064 Barrett Dr
Unit 9A
Raleigh, NC 27609
Phone (919) 480-2223

4822 Six Forks Rd
Ste 104
Raleigh, NC 27609
Phone (919) 618-5772

3904 Airport Dr NW
Ste A
Wilson, NC 27896
Phone (919) 239-9300

Interoperability endpoints

  • Direct secure messaging: datanya.betts.1@16956.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16956/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDGDD/Endpoint/DEDGDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1639501539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIVE WELL PRIMARY CARE",
            "address_2": "4064 BARRETT DR UNIT 9A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098095",
            "telephone_number": "919-803-4188",
            "fax_number": "919-803-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIVE WELL PRIMARY CARE",
            "address_2": "4064 BARRETT DR UNIT 9A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27609",
            "telephone_number": "919-803-4188",
            "fax_number": "919-803-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "DATANYA",
        "middle_name": "Y",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006305",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5006305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.