Individual provider Active NPI

Maurice Chukwudi Ejere

  • Case Management Registered Nurse
  • Raleigh, NC
National Provider Identifier
1205334752
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
184968 Issued in NC
Practice address
2700 Nagami CT
Raleigh, NC 27610-5889
Phone
(919) 601-7672
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 184968 NC Primary

Addresses

Primary practice location

2700 Nagami CT
Raleigh, NC 27610-5889

Mailing address

395 Virginia Water Dr
Rolesville, NC 27571-9215
Phone (919) 601-7672

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

LicenseStateTypeSpecialty
184968NCMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1205334752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 VIRGINIA WATER DR",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719215",
            "telephone_number": "919-601-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 NAGAMI CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105889",
            "telephone_number": "919-601-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJERE",
        "first_name": "MAURICE",
        "middle_name": "CHUKWUDI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "184968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.