Cypriel Fidelis Nwafor

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

11124 Front Porch Ave Apt 21107
Charlotte, NC 28227-0049

Phone

(704) 777-5710

NPI assigned

Jun 27, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Name Born LLC

  • Peer Specialist
  • Charlotte, NC
  • NPI 1114764420
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1376388678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 FRONT PORCH AVE APT 21107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282270049",
            "telephone_number": "704-777-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 FRONT PORCH AVE APT 21107",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282270049",
            "telephone_number": "704-777-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAFOR",
        "first_name": "CYPRIEL",
        "middle_name": "FIDELIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition With Nicky LLC
• Linda Brown Nutt, PA
• Mary Beth Nutt, DC
• Karissa Nuttall
• Emily Elizabeth Nutter, FNP-BC
• Cecilia Nkasiobi Nwauche, NP
• Ugwuala Nwauche, MD
• Christina Nwokeabia
• Christopher Obianom Nwosu
• Phyllis Nyagbona

• Peer Specialist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Peer Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.