Individual provider Active NPI

Emmanuel Anyanwu

  • Registered Nurse
  • Charlotte, NC
National Provider Identifier
1598593758
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
319706 Issued in NC
Practice address
4917 Albemarle Rd Ste 207
Charlotte, NC 28205-6686
Phone
(980) 800-5720
NPI assigned
Jul 22, 2024
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 319706 NC Primary

Addresses

Primary practice location

4917 Albemarle Rd Ste 207
Charlotte, NC 28205-6686

Mailing address

1120 Jeni LN Apt 3312
Charlotte, NC 28262-2148
Phone (980) 800-5720

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

LicenseStateTypeSpecialty
319706NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Extended Care of Charlotte Inc. CurrentSince Jul 28, 2024 Accepting new patients

Locations

4917 Albemarle Rd
Ste 207
Charlotte, NC 28205
Phone (980) 800-5720

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1598593758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 JENI LN APT 3312",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622148",
            "telephone_number": "980-800-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4917 ALBEMARLE RD STE 207",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056686",
            "telephone_number": "980-800-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU",
        "first_name": "EMMANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "319706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.