Individual provider Active NPI

Janie Nnenne Ugwuegbu

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1336855543
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5017545 Issued in NC
Practice address
249 NC-54 Ste 320
Durham, NC 27713
Phone
(919) 907-3334
Fax
(919) 321-1825
NPI assigned
Jan 31, 2023
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5017545 NC Primary

Addresses

Primary practice location

249 NC-54 Ste 320
Durham, NC 27713

Mailing address

249 NC-54 Ste 320
Durham, NC 27713
Phone (919) 907-3334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230408000109 NC Practitioner - Nurse Practitioner 1153796925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017545NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promised Hope PLLC Psychiatric/Mental Health Current Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Oct 27, 2023 Accepting new patients
Best Day Psychiatry and Counseling, PC Current Accepting new patients
Best Day Psychiatry and Counseling, PC CurrentSince Oct 27, 2023 Accepting new patients

Locations

4905 Pine Cone Dr
Ste 9
Durham, NC 27707
Phone (910) 323-1545

2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1336855543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 NC-54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-907-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 NC-54 STE 320",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "919-907-3334",
            "fax_number": "919-321-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UGWUEGBU",
        "first_name": "JANIE",
        "middle_name": "NNENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-31",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.