Individual provider Active NPI

Zenebwork Gobean

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1295563732
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5020647 Issued in NC
Practice address
411 S Lasalle St
Durham, NC 27705-3701
Phone
(833) 578-2763
Fax
(248) 218-9996
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5020647 NC Primary

Addresses

Primary practice location

411 S Lasalle St
Durham, NC 27705-3701

Mailing address

411 S Lasalle St
Durham, NC 27705-3701
Phone (833) 578-2763

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
I20240917001917 NC Practitioner - Nurse Practitioner 2668913799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020647NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Aug 14, 2024 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

70 Sweeten Creek Rd
Asheville, NC 28803
Phone (828) 274-7645

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1295563732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 S LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053701",
            "telephone_number": "833-578-2763",
            "fax_number": "248-218-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 S LASALLE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053701",
            "telephone_number": "833-578-2763",
            "fax_number": "248-218-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBEAN",
        "first_name": "ZENEBWORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5020647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.