WAKE MED NPI 1295855054

NPI Information

  • NPI: 1295855054
  • Provider Name: WAKE MED
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 34D2320814
  • Address: 3406 SIX FORKS RD
    RALEIGH, NC
    ZIP 27609
  • Phone: (919) 881-7770

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NPI Details

WAKE MED is a specialist in Raleigh, NC. The provider is 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. WAKE MED NPI is 1295855054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3406 SIX FORKS RD
RALEIGH, NC
ZIP 27609-234
Phone: (919) 881-7770

The provider's authorized official is Ylonda S Hicks .
The authorized official title is Billing Coordinator and has the following contact phone number (919) 881-7770.

The CLIA number assigned to this NPI record is 34D2320814 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist9400607NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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