Quintessential Wellness

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3960 Issued in NC

Legal business name

QUINTESSENTIAL WELLNESS

Practice address

620 NC Highway 42 W
Clayton, NC 27520-5803

Phone

(919) 400-7909

Fax

(919) 243-0530

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Amanda R Keates, D.C

Title

Owner

Phone

(919) 400-7909

Specialties & licenses 1

Addresses

Practitioners 1

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

• Danielle R Vann, D.C.

  • Chiropractor
  • Garner, NC
  • NPI 1104109859
  NPD (past)

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1972983286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-400-7909",
            "fax_number": "919-243-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NC HIGHWAY 42 W",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205803",
            "telephone_number": "919-400-7909",
            "fax_number": "919-243-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "KEATES",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-400-7909",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "3960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Pylant, MSW, LCSW
• Q1 Clinical Consultants,LLC
• Quest Diagnostics Clinical Laboratories Inc
• Quest Diagnostics Clinical Laboratories Inc
• Nina Goncarovs Quicksell, DO
• Mehveen Qureshi, DMD
• R.P.H. Surgical, Inc.
• R3 Womens Wellness PLLC
• Cory Anthony Rader
• Keandre Desmond Raiford

• Medical Specialty Clinic/Center in Clayton, NC
• Providers in Clayton, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.