Roseline O Nwadigo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5011108 Issued in NC

Practice address

2305 Glascock St
Raleigh, NC 27610-1601

Phone

(984) 200-5740

Fax

(984) 200-5740

NPI assigned

Sep 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Hope Wellness Center PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenly, NC
  • NPI 1003603572
  Medicare reassignment NPD Authorized official
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1801116405
  Medicare reassignment NPD
• Rose-Hill #2

  • In Home Supportive Care Agency
  • Raleigh, NC
  • NPI 1780198960
  NPD Authorized official
• Monarch

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1073267126
  NPD
• Monarch

  • Community/Behavioral Health Agency
  • Albemarle, NC
  • NPI 1972644334
  NPD

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1063921930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 BEACON BLUFF ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276045446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GLASCOCK ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101601",
            "telephone_number": "984-200-5740",
            "fax_number": "984-200-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Bush St",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276097511",
            "country_code": "US",
            "telephone_number": "919-876-3130",
            "fax_number": "919-876-3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWADIGO",
        "first_name": "ROSELINE",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-23",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NC",
            "license": "FCL092234",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5011108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2305",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nutrition Counseling Services
• Nutrition Counseling Services
• Nutrition Partners, LLC
• Nutritionally Balanced Kitchen
• James Edward Nutt, M.D.
• Umezulike Dada Nwaebiem
• Ijeoma Eugenia Nwaeze, MSN, NP
• Chika Nwanedo
• Steve Nwanguma, FNP-BC
• Tia Nwanguma, FNP-C

• Psychiatric/Mental Health Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.