NPIMap

Individual provider Active NPI

Qiong Qiu

  • Adult Health Nurse Practitioner
  • Cary, NC
National Provider Identifier
1134701964
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5014330 Issued in NC
Practice address
1021 Darrington Dr Ste 101
Cary, NC 27513-8158
Phone
(919) 852-3999
Fax
(919) 378-9114
NPI assigned
Apr 21, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5014330 NC
Adult Health Nurse Practitioner 363LA2200X 5014330 NC Primary

Addresses

Primary practice location

1021 Darrington Dr Ste 101
Cary, NC 27513-8158

Mailing address

1021 Darrington Dr Ste 101
Cary, NC 27513-8158
Phone (919) 852-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001808 NC Practitioner - Nurse Practitioner 6002225653 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 E Dogwood Dr
Mebane, NC 27302-7746
Phone (919) 563-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients
Generations Family Practice, PA CurrentSince Jun 1, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc Internal Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Internal Medicine CurrentSince Jan 8, 2024 Accepting new patients

Locations

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

234 Crooked Creek Pkwy
Ste 200
Durham, NC 27713
Phone (919) 213-6631

100 E Dogwood Dr
Mebane, NC 27302
Phone (919) 563-2896

Interoperability endpoints

  • Direct secure messaging: qqiu242810@direct.medicine.duke.edu

Organizations & group practices 5

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1134701964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "919-852-3999",
            "fax_number": "919-378-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DARRINGTON DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138158",
            "telephone_number": "919-852-3999",
            "fax_number": "919-378-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QIU",
        "first_name": "QIONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5014330",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5014330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.