Active NPI
Eriselda Jaupaj
- Occupational Therapy Assistant
- Raleigh, NC
National Provider Identifier
1558093872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 14938
- Practice address
- 1810 N New Hope Rd
Raleigh, NC 27604-8305 - Phone
- (919) 809-0015
- NPI assigned
- Jun 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 14938 | NC | Primary |
Addresses
Primary practice location
1810 N New Hope Rd
Raleigh, NC 27604-8305
Mailing address
2254 Sweet Annie Way
Wake Forest, NC 27587-3465
Other practice location 1
1151 S Main St
Wake Forest, NC 27587-9646
Phone (919) 274-1114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14938 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656288000000",
"number": "1558093872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2254 SWEET ANNIE WAY",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 N NEW HOPE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276048305",
"telephone_number": "919-809-0015"
}
],
"practiceLocations": [
{
"address_1": "1151 S Main St",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275879646",
"country_code": "US",
"telephone_number": "919-274-1114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAUPAJ",
"first_name": "ERISELDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-27",
"last_updated": "2022-06-27",
"certification_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "14938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.