Dermaglow Hydration and Wellness Clinic

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DERMAGLOW HYDRATION AND WELLNESS CLINIC

Practice address

3824 Barrett Dr
Raleigh, NC 27609-7220

Phone

(984) 286-7734

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Lorna Samwed, CRNPNPI 1174116578

Title

Ceo

Phone

(984) 286-7734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lorna Samwed, FNP

  • Family Nurse Practitioner
  • Raleigh, NC
  • NPI 1174116578
  NPD Authorized official

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1992489199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "984-286-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097220",
            "telephone_number": "984-286-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAGLOW HYDRATION AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "SAMWED",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-286-7734",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Depthworks, PLLC
• Danielle Dequaine, MS CCC-SLP
• Darrin W Dereu, ATC
• Engy Derias
• Christopher Michael Derienzo, M.D., M.P.P
• Josephine Redwine Deronja, M.ED., LPC, NCC
• Jennifer L. Derosa, DPT
• Frederick Joseph Derosier, DO
• Amita Ajit Desai, M.D.
• Jinal Bharatkumar Desai, MD

• Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, 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 Jun 9, 2023; 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.