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WAKE NEPHROLOGY ASSOCIATES, P.A.
NPI 1891797049
Specialist in Raleigh, NC

Active since June 01, 2005
3604 BUSH ST, RALEIGH, NC 27609(919) 876-7807(919) 876-8823 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wake Nephrology Associates, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAKE NEPHROLOGY ASSOCIATES, P.A. (NPI 1891797049) is a healthcare organization registered as a specialist in Raleigh, North Carolina and active in the NPI registry since June 2005. The organization lists Jamie Kendra Fricke, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1891797049
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWAKE NEPHROLOGY ASSOCIATES, P.A.
Location Address3604 BUSH STRaleigh, NC 27609-7511
Mailing Address3604 Bush StRaleigh, NC 27609-7511 · (919) 876-7807 · Fax (919) 876-8823
Phone(919) 876-7807
Fax(919) 876-8823
Organization SubpartNo
Authorized OfficialJamie Kendra FrickePractice Manager · (919) 876-7807
Enumeration DateJune 1, 2005
Last NPPES UpdateMarch 23, 2011
✔ NPI 1891797049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NC · 9800209✔ Licensed in NC · 31375✔ Licensed in NC · 23576✔ Licensed in NC · 23533✔ Licensed in NC · 34410✔ Licensed in NC · 9500252✔ Licensed in NC · 200100423✔ Licensed in NC · 200200682
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3604 BUSH ST, Raleigh, NC 27609
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Other Identifiers 20

Medicare UPIND46166NC
Medicare UPINC88532NC
Medicare ID-Type Unspecified2284903NC · Medicare Provider Number
Medicare ID-Type Unspecified207775BNC · Medicare Provider Number
Medicaid8947988NC
Medicare UPINE78745NC
Medicare UPINI26516NC
Medicare ID-Type Unspecified2216087ANC · Medicare Provider Number
Medicare ID-Type Unspecified2161684NC · Medicare Provider Number
Medicare ID-Type Unspecified0865NC · Group Number
Medicare ID-Type Unspecified2037970NY · Medicare Provider Number
Medicaid6973447NC
Medicare ID-Type Unspecified2158714NC · Medicare Provider Number
Medicaid7902997NC
Medicare UPIND62808NC
Medicare UPINH36927NC
Medicare ID-Type Unspecified2285829NC · Medicare Provider Number
Medicare UPING14096NC
Medicare UPINH34073NC
Medicare ID-Type Unspecified210045NC · Medicare Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH KEITH KEENER M.D.
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
MRS. DONNA ANTONIA THEODORE PA-C
Physician Assistant (Medical)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
MS. DEBORAH B BERG RD, LDN
Dietitian, Registered (Nutrition, Renal)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
DR. MICHAEL MONAHAN M.D.
Internal Medicine (Nephrology)
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807
NANCI JACQULYN SULLIVAN-BLACKERT RN, MSN, CDE, NP-C
Nurse Practitioner (Family)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
LORI MICHELLE HASKINS NP-C
Nurse Practitioner
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7807
BIO-MEDICAL APPLICATIONS OF NORTH CAROLINA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3604 BUSH ST
RALEIGH, NC 27609
Wake County (919) 876-7501
DR. MARK DAVID ROTHMAN M.D.
Specialist
3604 BUSH ST, 2ND FLOOR
RALEIGH, NC 27609
Wake County (919) 876-7807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wake Nephrology Associates, P.A.'s NPI number?

The NPI number for Wake Nephrology Associates, P.A. is 1891797049. It was assigned to this organization in the NPPES registry on June 1, 2005.

Where is Wake Nephrology Associates, P.A. located?

Wake Nephrology Associates, P.A. is located at 3604 Bush St, Raleigh, NC 27609. The listed phone number is (919) 876-7807.

What is Wake Nephrology Associates, P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wake Nephrology Associates, P.A. was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.