Tobechukwu Chimuanya Abiahu
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI 1558070433 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1558070433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- ABIA-J1ID8 (NC)
- Practice address
- 1300 Western Blvd
Raleigh, NC 27606-2148 - Phone
- (919) 758-7790
- NPI assigned
- Nov 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ABIA-J1ID8 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ABIA-J1ID8 | NC | Yes |
Addresses
Primary practice location
1300 Western Blvd
Raleigh, NC 27606-2148
Mailing address
100 Fargale LN
Apex, NC 27539-6530
Phone (919) 758-7790
Other providers in Raleigh, NC
- Haley Lowrey Abee
- Amy Abel
- Linda Marino Abell
- Alisia Abernathy
- Abernethysonnerwells PLLC
- Abide Psychiatry, PLLC
- Abiding Care Home Health LLC
- Abigail W. Scanlan DDS PLLC
- Abilitations Children'S Therapy & Wellness Center
- John Michael Ablan
All providers in Raleigh, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.