RTP Healthy Wellness PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RTP HEALTHY WELLNESS PLLC

Doing business as

Lifestyle Medical Centers

Practice address

1520 Sunday Dr Ste 309
Raleigh, NC 27607-5254

Phone

(919) 354-7077

Fax

(919) 354-7075

NPI assigned

Nov 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Eric Henderson

Title

Secretary

Phone

(919) 260-8423

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Medical Centers Doing business as

Locations

Practitioners 2

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

• Richard C Henderson, MD

  • Orthopaedic Surgery Physician
  • Chapel Hill, NC
  • NPI 1144329962
  NPD (past)
• Jaclyn McCabe, RD

  • Registered Dietitian
  • Raleigh, NC
  • NPI 1811504335
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1699029074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SUNDAY DR STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276075254",
            "telephone_number": "919-354-7077",
            "fax_number": "919-354-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTP HEALTHY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "919-260-8423",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• RP Home Care Services LLC (HomeChoice Companions)
• RPN of NC Inc
• RPN of SC Inc
• RPN of VA Inc
• Rreps, Inc (Recidivism Reduction Educational Program Services)
• Stephanie L. Rubain, LPC
• Joseph John Rubelowsky, M.D.
• Joseph Ruberwa
• Melisa Dyan Rubin, PHARMD
• Spencer Alexander Rubin, BCBA

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, 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 Feb 14, 2024; 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.