Organization Active NPI

969 Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1922904184
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
969 HEALTH AND WELLNESS LLC
Practice address
2529 Hunters Meadow LN
Raleigh, NC 27606-8488
Phone
(919) 650-0249
Fax
(919) 551-7494
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Authorized official

Name
Omotunde Adeyemi, PMHNPNPI 1871180968
Title
Owner
Phone
(513) 658-0761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

2529 Hunters Meadow LN
Raleigh, NC 27606-8488

Mailing address

3434 Kildaire Farm Rd Ste 135
Cary, NC 27518-2278
Phone (919) 650-0249

National Provider Directory

National Provider Directory

Locations

3434 Kildaire Farm Rd
Ste 135
Cary, NC 27518
Phone (919) 234-7999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1922904184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 KILDAIRE FARM RD STE 135",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275182278",
            "telephone_number": "919-650-0249",
            "fax_number": "919-551-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 HUNTERS MEADOW LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276068488",
            "telephone_number": "919-650-0249",
            "fax_number": "919-551-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "969 HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "ADEYEMI",
        "authorized_official_first_name": "OMOTUNDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-658-0761",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2026; 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.