Cecilia Wing Yan Wan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5004828 Issued in NC

Practice address

101 Professional Park Ste a
Oxford, NC 27565-2580

Phone

(919) 639-3972

NPI assigned

Aug 17, 2010

Last updated

Aug 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Duke University Affiliated Physicians, Inc.

  dba Sutton Station Internal Medicine

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972
  Medicare reassignment NPD
• Duke University Affiliated Physicians, Inc.

  dba Oxford Family Physicians

  • Family Medicine Physician
  • Oxford, NC
  • NPI 1124057484
  NPD
• Duke University Affiliated Physicians, Inc.

  dba Wake Forest Family Physicians, Inc.

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1275561847
  NPD
• Duke University Affiliated Physicians, Inc.

  dba Duke Urgent Care

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795
  NPD

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1932414703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL PARK STE A",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652580",
            "telephone_number": "919-639-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL PARK STE A",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652580",
            "telephone_number": "919-639-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "CECILIA",
        "middle_name": "WING YAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia S Fuller MD LLC
• Wake Emergency Physicians PA
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1579)
• Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-1579)
• Walgreen Co (Walgreens #12630)
• Caroline Strickland Watson
• Winter Shanelle Watson, LCSW
• Jonathan Michael Weinberg, PT, DIP. MDT
• Joy Weisner
• April Eve Welborn, MD

• Nurse Practitioner in Oxford, NC
• Providers in Oxford, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.