Live Well Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5006305 Issued in NC

Legal business name

LIVE WELL PRIMARY CARE

Practice address

4064 Barrett Dr Unit 9a
Raleigh, NC 27609-6604

Phone

(919) 803-4188

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Datanya Yvetts Betts, FNPNPI 1639501539

Title

Ceo

Phone

(919) 803-4188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16956/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Datanya Y Betts, NP

  • Nurse Practitioner
  • Raleigh, NC
  • NPI 1639501539
  Medicare reassignment NPD Authorized official
• Farrah Tanya Kader, DNP

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1396425104

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1952811267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 BARRETT DR UNIT 9A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096604",
            "telephone_number": "919-803-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 BARRETT DR UNIT 9A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096604",
            "telephone_number": "919-803-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "BETTS",
        "authorized_official_first_name": "DATANYA",
        "authorized_official_middle_name": "YVETTS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-803-4188",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5006305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639501539",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Paul Litton, MD
• Aidan J Liu, DNP
• Chenqian Liu
• Miranda Liu, MSW, LCSW
• Livassist LLC
• Stephanie Livecchi, PA-C
• Theresa Dulski Lively, OTR/L
• Cathy Lee Livengood, BC-HIS
• Livewell Therapy, PLLC
• Living & Learning Together, LLC

• 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 Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.