Individual provider Active NPI

Jo Anne H Eure, NP

  • Adult Health Nurse Practitioner
  • Kinston, NC
National Provider Identifier
1194940288
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
900071 Issued in NC
Practice address
2508 N Queen St Ste 200
Kinston, NC 28501-1631
Phone
(252) 522-0414
Fax
(252) 522-0416
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Management Registered Nurse 163WP0000X 072061 NC
Adult Health Nurse Practitioner 363LA2200X 900071 NC Primary

Addresses

Primary practice location

2508 N Queen St Ste 200
Kinston, NC 28501-1631

Mailing address

2508 N Queen St Ste 200
Kinston, NC 28501-1631
Phone (252) 522-0414

Other identifiers 3

IdentifierTypeStateIssuer
1194940288OtherNCMEDCOST
7004492MedicaidNC
P00654390OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070803000309 NC Practitioner - Nurse Practitioner 0941391064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brier Creek Integrated Pain and Spine PLLCGroup PAC ID 9133214539, 20 clinicians

Practice addresses (Care Compare)

1970 W Arlington Blvd C
Greenville, NC 27834-5783
Phone (252) 317-1195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
072061NCMDPain Management Registered Nurse
900071NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JKM Community Services, PLLC PastSince Apr 1, 2012 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1194940288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 N QUEEN ST STE 200",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011631",
            "telephone_number": "252-522-0414",
            "fax_number": "252-522-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 N QUEEN ST STE 200",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011631",
            "telephone_number": "252-522-0414",
            "fax_number": "252-522-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EURE",
        "first_name": "JO ANNE",
        "middle_name": "H",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "NC",
            "license": "072061",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "1194940288",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004492",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00654390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.