Individual provider Active NPI

Jatinder Jit Kaur

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1629745153
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5015289 Issued in NC
Practice address
4505 Falls of Neuse Rd
Raleigh, NC 27609-6277
Phone
(919) 877-9959
NPI assigned
Aug 24, 2021
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 5015289 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4505 Falls of Neuse Rd
Raleigh, NC 27609-6277

Mailing address

Jatinder Kaur
106 Singer Way
Morrisville, NC 27560-5551
Phone (804) 833-2128

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
I20211119002052 NC Practitioner - Nurse Practitioner 3779972336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ih Physician Services PCGroup PAC ID 5991165458, 56 clinicians

Practice addresses (Care Compare)

Raleigh, NC 27609
Phone (984) 328-7736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5015289NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Health LLC Single Specialty CurrentSince Jul 3, 2023 Accepting new patients
Ih Physician Services PC Single Specialty CurrentSince Oct 31, 2023 Accepting new patients
In Home Health, LLC CurrentSince Jul 3, 2023 Accepting new patients
Ih Physician Services, PC Single Specialty CurrentSince Oct 31, 2023 Accepting new patients
Ih Physician Services PC Single Specialty Past Accepting new patients

Locations

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4505 Falls of Neuse Rd
Ste 650
Raleigh, NC 27609
Phone (919) 877-9959

4515 Falls of Neuse Rd
Ste 420
Raleigh, NC 27609
Phone (919) 877-9959

100 Pavilion Way
Ste E4
Southern Pnes, NC 28387
Phone (910) 684-5078

Organizations & group practices 6

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1629745153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JATINDER KAUR",
            "address_2": "106 SINGER WAY",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275605551",
            "telephone_number": "804-833-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096277",
            "telephone_number": "919-877-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "JATINDER",
        "middle_name": "JIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5015289",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.