Kuniko Nicole Kurosu, AGNP

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

5008168 Issued in NC

Practice address

1705 Gardner Rd
Wilmington, NC 28405-8873

Phone

(910) 343-5300

NPI assigned

Nov 13, 2015

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

State licenses

Interoperability endpoints

• Direct secure messaging: kkurosu@3efc1d06.micromddirect.com

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1184098162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EDGEWATER LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033748",
            "telephone_number": "910-777-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROSU",
        "first_name": "KUNIKO",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NC",
            "license": "5008168",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NC",
            "license": "5008168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J. Kruger, C.R.N.A.
• KRX Inc
• Caitlin Kucharik, OTR/L
• Julie Kuetemeyer, CCC-A, AU.D.
• Lori Ann Kunak, DPT
• Danielle Kurtz, DNP, PMHNP-BC
• Emma Miley Kurtz
• Hailey Loren Kuzma, DMD
• Michael John Kuzma, DDS
• Kyle Kwiatkowski

• Gerontology Clinical Nurse Specialist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Gerontology Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.