Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wakemed

Organization Clinical Neuropsychologist · NPI 1194907717

Wakemed is a Clinical Neuropsychologist in Raleigh, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
15
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Practice location Address checks out

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-8000
Fax: (919) 350-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Clinical Neuropsychologist Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X
Clinical Social Worker Taxonomy 1041C0700X
Family Medicine Physician Taxonomy 207Q00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Cytopathology Physician Taxonomy 207ZC0500X
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X
General Acute Care Hospital Taxonomy 282N00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1194907717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Andrews — Vp, Finance · (919) 350-8344
Other names Wakemed Professional Physicians Staff
NPI enumeratedDecember 5, 2007
Last updated in NPPESJanuary 23, 2017
Mailing address3000 New Bern Ave, Managed Care Contracting Dept., Raleigh, NC 27610-1231

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