Individual provider Active NPI

Carla Dee Cooper Eure, FNP-C

  • Family Nurse Practitioner
  • Ahoskie, NC
National Provider Identifier
1245090059
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
EURE-QTTL0 Issued in NC
Practice address
120 Health Center Dr
Ahoskie, NC 27910-8161
Phone
(252) 332-3548
NPI assigned
Mar 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 EURE-QTTL0 NC Primary

Addresses

Primary practice location

120 Health Center Dr
Ahoskie, NC 27910-8161

Mailing address

120 Health Center Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548

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
I20241209001304 NC Practitioner - Nurse Practitioner 5698201044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Roanoke Chowan Community Health Center IncGroup PAC ID 7214983386, 35 clinicians

Practice addresses (Care Compare)

120 Health Ctr Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548

Hospital & facility affiliations

  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EURE-QTTL0NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roanoke Chowan Community Health Center Inc CurrentSince Aug 9, 2024 Accepting new patients
Roanoke Chowan Community Health Center Inc Current Accepting new patients
Roanoke Chowan Community Health Center Inc CurrentSince Aug 9, 2024 Accepting new patients

Locations

113 Hertford County High Rd
#B
Ahoskie, NC 27910
Phone (252) 209-3375

120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237

109 W River St
Colerain, NC 27924
Phone (252) 356-2404

305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1245090059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "252-332-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HEALTH CENTER DR",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279108161",
            "telephone_number": "252-332-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EURE",
        "first_name": "CARLA",
        "middle_name": "DEE COOPER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "EURE-QTTL0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.