Jennifer Diaz Sobejana, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

280020 Issued in NC

Practice address

50 Miller St Ste C
Winston Salem, NC 27104-4206

Phone

(336) 310-5535

Fax

(336) 310-1183

NPI assigned

Sep 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsobejana1666615@direct.novanthealth.org

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.

• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1760950646

  Multi-Specialty

  Medicare reassignment NPD
• Liberty Medical Care Services, LLC

  • Nurse Practitioner
  • Whiteville, NC
  • NPI 1174920300

  Multi-Specialty

  Medicare reassignment NPD
• Wake Forest University Health Sciences

  • Multi-Specialty Clinic/Center
  • Winston Salem, NC
  • NPI 1003803032
  Medicare reassignment NPD
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Asheville, NC
  • NPI 1235014796
  NPD
• Carolina Medicorp Enterprises Inc

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1417497504

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1174359392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843",
            "telephone_number": "336-310-5535",
            "fax_number": "336-310-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MILLER ST STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044206",
            "telephone_number": "336-310-5535",
            "fax_number": "336-310-1183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 Lewisville Clemmons Rd",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270128905",
            "country_code": "US",
            "telephone_number": "336-713-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBEJANA",
        "first_name": "JENNIFER",
        "middle_name": "DIAZ",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020862",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "280020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Snow
• Timothy Matthew Snow, RNC, NNP, MSN
• Jane Richardson Snyder, LCSW
• Melinda Snyder, LPCA
• Kathryn Starr Sobba, M.D.
• Katherine Sobie, OTR/L
• Alina Gabriela Sofronescu, PHD
• Kambiz C Soheili, M.D., PH.D.
• Maninder Kaur Sohi, MD
• Martha Jane Sohmer, PA-C

• Gerontology Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.