Active NPI
Sieara Kearney, WIG CREATOR
- Specialist
- Raleigh, NC
National Provider Identifier
1629540323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 5503 Metedeconk LN
Raleigh, NC 27604-5404 - Phone
- (919) 769-2971
- NPI assigned
- Dec 19, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
5503 Metedeconk LN
Raleigh, NC 27604-5404
Mailing address
5503 Metedeconk LN
Raleigh, NC 27604-5404
Phone (919) 769-2971
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0517175503 | Medicaid | NC | |
| 05175503 | Other | NC | VICTIMS OF ALOPECIA, CANCER, AND OTHER MEDICAL ISSUES THAT CAUSES HAIR LOSS. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1629540323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 METEDECONK LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045404",
"telephone_number": "919-769-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 METEDECONK LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045404",
"telephone_number": "919-769-2971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "SIEARA",
"credential": "WIG CREATOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517175503",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VICTIMS OF ALOPECIA, CANCER, AND OTHER MEDICAL ISSUES THAT CAUSES HAIR LOSS.",
"identifier": "05175503",
"state": "NC"
}
],
"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 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.