Individual provider Active NPI

Chinwe Iheme

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1215328653
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5007459 Issued in NC
Practice address
101 E WT Harris Blvd
Building 1000 Suite 1110
Charlotte, NC 28262-3485
Phone
(704) 863-9850
NPI assigned
Feb 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5007459 NC Primary

Addresses

Primary practice location

101 E WT Harris Blvd
Building 1000 Suite 1110
Charlotte, NC 28262-3485

Mailing address

101 E WT Harris Blvd
Charlotte, NC 28262-3485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150818003837 SC Practitioner - Nurse Practitioner 3678763505 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Health CurrentSince May 25, 2015 Accepting new patients
Americare Health, PC CurrentSince May 25, 2015 Accepting new patients
Universal Medical Supply Inc PastSince Mar 1, 2010 Accepting new patients

Locations

905 N Pearl St
Pageland, SC 29728
Phone (843) 672-3100

Interoperability endpoints

  • Direct secure messaging: chinwe.iheme@1029563694579716.direct.elationemr.com

Organizations & group practices 3

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": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1215328653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E WT HARRIS BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WT HARRIS BLVD",
            "address_2": "BUILDING 1000 SUITE 1110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623485",
            "telephone_number": "704-863-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEME",
        "first_name": "CHINWE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.