Wellness Family Practice, P.a.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

32001 Issued in NC

Legal business name

WELLNESS FAMILY PRACTICE, P.A.

Practice address

570 New Waverly PL
130
Cary, NC 27511-7405

Phone

(919) 859-7044

NPI assigned

Feb 7, 2007

Last updated

Oct 22, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

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

Authorized official

Name

Mr. Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kati Elizabeth Dessauer, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1306832563
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1659411635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "858-625-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 NEW WAVERLY PL",
            "address_2": "130",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275117405",
            "telephone_number": "919-859-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS FAMILY PRACTICE, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2007-02-07",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NC",
            "license": "32001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Edwin Welch II, M.D.
• Paul Jeffrey Welch, R.PH.
• Austin Weld, MD
• Well One Collective
• Well One PLLC
• Wellness Family Practice, PA
• Wellness Pharmacy of Cary LLC (Wellness Compounding Pharmacy)
• Kathryn Elizabeth Wells
• Jennie Welner, FNP-BC
• Lauren Welsby

• Non-Pharmacy Dispensing Site in Cary, NC
• Providers in Cary, NC by specialty
• Non-Pharmacy Dispensing Site in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.