El Sanctuary

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Legal business name

EL SANCTUARY

Practice address

4501 New Bern Ave
#130-196
Raleigh, NC 27610-1549

Phone

(919) 351-9814

Fax

(919) 255-6119

NPI assigned

Jun 27, 2011

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Qetsiyah S Yisrael, PHD

Title

Director

Phone

(919) 351-9814

Specialties & licenses 1

Addresses

Other names 1

• The Sanctuary Former legal business name

Locations

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1942596028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 NEW BERN AVE",
            "address_2": "#130-196",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101549",
            "telephone_number": "919-351-9814",
            "fax_number": "919-255-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 NEW BERN AVE",
            "address_2": "#130-196",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101549",
            "telephone_number": "919-351-9814",
            "fax_number": "919-255-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SANCTUARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "YISRAEL",
        "authorized_official_first_name": "QETSIYAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-351-9814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sanctuary",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ruth Mokeba Ekangaki, MD
• Clement Ekeleme
• Laura Thorne Ekka, MD
• Erik Arne Eklund, MD
• Beatrice Ekwunife
• Yasser El-Abd, M.D.
• Elizabeth Ann Elam
• Cassandra Kendrick Elder, MSN, CNM, RN
• Kerron Harvey Elder, LCSW, LCAS
• Eldercare Home Care Services Inc

• Religious Nonmedical Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Religious Nonmedical Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.