Ada Nwankudu, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5011639 Issued in NC

Practice address

401 Keisler Dr Ste 100
Cary, NC 27518

Phone

(919) 439-6120

Fax

(919) 246-4420

NPI assigned

Feb 3, 2006

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 names 1

• Nwada Ogbonna Nwankudi Other name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Alpha Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Cary, NC
  • NPI 1780019893
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  • Primary Care Nurse Practitioner
  • Bennettsville, SC
  • NPI 1295332690
  Medicare reassignment NPD
• Alpha Psychiatric Associates, PLLC

  • Psychiatry Physician
  • Durham, NC
  • NPI 1134664501
  NPD
• Hartsville Hma Physician Management Inc

  • Family Medicine Physician
  • Hartsville, SC
  • NPI 1821021817
  NPD (past)
• KB Management Services LLC

  • Emergency Medicine Physician
  • Hartsville, SC
  • NPI 1053459818
  NPD (past)
• Pee Dee Emergency Physicians

  • Emergency Medicine Physician
  • Hartsville, SC
  • NPI 1669667606
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1174595060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KEISLER DRIVE STE.100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E Palmetto St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295062851",
            "country_code": "US",
            "telephone_number": "843-667-9414",
            "fax_number": "843-667-4133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6224 Fayetteville Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136288",
            "country_code": "US",
            "telephone_number": "919-439-6120",
            "fax_number": "919-246-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWANKUDU",
        "first_name": "ADA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "2148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NWADA",
            "last_name": "NWANKUDI",
            "middle_name": "OGBONNA",
            "credential": "NURSE PRACTITIONER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pedro J Nunez, M.D.
• Nutech Health and Hearing PLLC
• Nutrition & Diabetes Counseling Center of NC, LLC
• Nutrition for You LLC
• Vivian Nwachukwu
• Guy Gabie Nzazi, PHARM.D
• O'Brien and West, DMD III, PLLC
• Megan O'Brien, M.A. CF-SLP
• Kristen Johnson O'Connell, SLP
• Allison Marie O'Connor

• Family Nurse Practitioner in Cary, NC
• Providers in Cary, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.