Individual provider Active NPI

Cecilia Nkasiobi Nwauche, NP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1235564162
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006397 Issued in NC
Practice address
6101 Idlewild Rd
Suite 315
Charlotte, NC 28212-0517
Phone
(704) 716-9898
Fax
(704) 716-9838
NPI assigned
Sep 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006397 NC Primary

Addresses

Primary practice location

6101 Idlewild Rd
Suite 315
Charlotte, NC 28212-0517

Mailing address

424 Running Horse LN
Waxhaw, NC 28173-7232
Phone (704) 575-5064

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006397NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1235564162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 RUNNING HORSE LN",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737232",
            "telephone_number": "704-575-5064",
            "fax_number": "704-243-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 IDLEWILD RD",
            "address_2": "SUITE 315",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282120517",
            "telephone_number": "704-716-9898",
            "fax_number": "704-716-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAUCHE",
        "first_name": "CECILIA",
        "middle_name": "NKASIOBI",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.