Active NPI
Tshikwakwa Kasembwe, FNP-BC
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1326877572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5020526
- Practice address
- 537 W Sugar Creek Rd Ste 201
Charlotte, NC 28213-6103 - Phone
- (704) 979-8210
- NPI assigned
- Jul 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5020526 | NC | Primary |
Addresses
Primary practice location
537 W Sugar Creek Rd Ste 201
Charlotte, NC 28213-6103
Mailing address
537 West Sugar Creek Rd # 201
Charlotte, NC 28213
Phone (704) 222-5528
Other names 1
- N/a N/a
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020526 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
515 S Generals Blvd
Lincolnton, NC 28092
Phone (704) 733-8065
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": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1326877572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 WEST SUGAR CREEK RD # 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28213",
"telephone_number": "704-222-5528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W SUGAR CREEK RD STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136103",
"telephone_number": "704-979-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASEMBWE",
"first_name": "TSHIKWAKWA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5020526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "N/A",
"last_name": "N/A",
"credential": "FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.