Active NPI
Donette Weltansieht Vicente, M.D.
- Hematology & Oncology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2016-00099
- Practice address
- 2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607-6423 - Phone
- (919) 784-6818
- NPI assigned
- Jan 29, 2008
- Last updated
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234963 | MA | |
| Hematology & Oncology Physician | 207RH0003X | 49486 | TN | |
| Hematology & Oncology Physician | 207RH0003X | 2016-00099 | NC | Primary |
| Medical Oncology Physician | 207RX0202X | 2016-00099 | NC |
Addresses
Primary practice location
2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607-6423
Mailing address
2901 Blue Ridge Rd Ste 203
Raleigh, NC 27607-6423
Phone (919) 784-6818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103I839379 | Other | TN | MEDICARE PTAN |
Other names 1
- Donette Weltansieht Campbell
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dvicente172427@direct.UNC.nchie.net | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- State University of New York at Stony Brook, School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Blue Ridge Rd
Raleigh, NC 27607-6423
Phone (919) 784-3105
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234963 | MA | MD | Internal Medicine Physician |
| 2016-00099 | NC | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Internal Medicine | Current | Accepting new patients |
| Rex Hospital, Inc | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| North Carolina MG, LLC | Hematology & Oncology | Current | Accepting new patients |
| DLP Maria Parham Physician Practices, LLC | Hematology & Oncology | Current | Accepting new patients |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Johnston Specialty Physician Services,Inc | Hematology & Oncology | Current | Accepting new patients |
| Johnston Specialty Physician Services,Inc | Internal Medicine | Current | Accepting new patients |
| Rex Hospital Inc | Hematology & Oncology | Current | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148
1200 Pine Run Dr
Lumberton, NC 28358
Phone (910) 671-5048
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
117 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 334-3900
2901 Blue Ridge Rd
Raleigh, NC 27607
Phone (919) 784-3105
2901 Blue Ridge Rd
Ste 203
Raleigh, NC 27607
Phone (919) 784-6060
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171
514 N Brightleaf Blvd
Ste 1100
Smithfield, NC 27577
Phone (919) 939-2192
Interoperability endpoints
- dvicente172427@direct.unc.nchie.net
Organizations & group practices 10
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.
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
Hematology & Oncology
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
dba Johnston Medical Associates Cardiology
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Smithfield, NC
- NPI 1801344395
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Medical Oncology
- Hematology & Oncology Physician
- Henderson, NC
- NPI 1538561865
-
dba Johnston Health Hematology & Oncology Physician Services
- Hematology & Oncology Physician
- Smithfield, NC
- NPI 1649786567
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1144248683
-
dba Rex Hematology Oncology Associates
- Hematology & Oncology Physician
- Raleigh, NC
- NPI 1942239538
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UNC Hospitals
- General Acute Care Hospital
- Chapel Hill, NC
- NPI 1932208576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1700063062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 BLUE RIDGE RD STE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076423",
"telephone_number": "919-784-6818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 BLUE RIDGE RD STE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276076423",
"telephone_number": "919-784-6818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICENTE",
"first_name": "DONETTE",
"middle_name": "WELTANSIEHT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "234963",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "TN",
"license": "49486",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2016-00099",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "2016-00099",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "103I839379",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dvicente172427@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2901 Blue Ridge Rd Ste 203",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276076423",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DONETTE",
"last_name": "CAMPBELL",
"middle_name": "WELTANSIEHT",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.