Active NPI
Nicole Kamunga Mesu
- Home Health Aide
- Garner, NC
National Provider Identifier
1184928814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC4263
- Practice address
- 106 Broughton St
Garner, NC 27529-3006 - Phone
- (919) 772-3346
- Fax
- (919) 975-2118
- NPI assigned
- Jan 10, 2011
- Last updated
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HC4263 | NC | Primary |
Addresses
Primary practice location
106 Broughton St
Garner, NC 27529-3006
Mailing address
106 Broughton St
Garner, NC 27529-3006
Phone (919) 772-3346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC4263 | NC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingdom Healthcare Management | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Garner, NC
- NPI 1760787659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1184928814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BROUGHTON ST",
"city": "GARNER",
"state": "NC",
"postal_code": "275293006",
"telephone_number": "919-772-3346",
"fax_number": "919-975-2118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 BROUGHTON ST",
"city": "GARNER",
"state": "NC",
"postal_code": "275293006",
"telephone_number": "919-772-3346",
"fax_number": "919-975-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESU",
"first_name": "NICOLE",
"middle_name": "KAMUNGA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC4263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.