Individual provider Active NPI

Hugo Antonio Nunez, AGNP-C/RNFA

  • Nurse Practitioner
  • Greenville, NC
National Provider Identifier
1518481100
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017201 Issued in NC
Practice address
504 Red Banks Rd Ste C
Greenville, NC 27858-5766
Phone
(252) 321-3579
NPI assigned
Jul 26, 2017
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00721000 NJ
Nurse Practitioner 363L00000X 5017201 NC Primary

Addresses

Primary practice location

504 Red Banks Rd Ste C
Greenville, NC 27858-5766

Mailing address

105 W Purvis St
Robersonville, NC 27871-9503
Phone (862) 334-4464

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
I20221222002224 NC Practitioner - Nurse Practitioner 6406907351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017201NCMDNurse Practitioner
26NJ00721000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars Minimally Invasive Surgical Suite - Morris Plains LLC PastSince Apr 1, 2009 Accepting new patients

Organizations & group practices 1

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": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1518481100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W PURVIS ST",
            "city": "ROBERSONVILLE",
            "state": "NC",
            "postal_code": "278719503",
            "telephone_number": "862-334-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 RED BANKS RD STE C",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585766",
            "telephone_number": "252-321-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "HUGO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "AGNP-C/RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00721000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.