Individual provider Active NPI

Christopher Obianom Nwosu

  • Nurse's Aide
  • Charlotte, NC
National Provider Identifier
1649892738
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
HC5401 Issued in NC
Practice address
11709 Fruehauf Dr
Charlotte, NC 28273-7284
Phone
(704) 918-2989
NPI assigned
May 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HC5401 NC
Nurse's Aide 376K00000X HC5401 NC Primary

Addresses

Primary practice location

11709 Fruehauf Dr
Charlotte, NC 28273-7284

Mailing address

13603 Shallow Well Dr
Charlotte, NC 28278-7447
Phone (704) 918-2989

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
HC5401NCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Touch Home Health Care LLC Current Accepting new patients

Locations

11709 Fruehauf Dr
Charlotte, NC 28273
Phone (404) 276-1981

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1649892738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13603 SHALLOW WELL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787447",
            "telephone_number": "704-918-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11709 FRUEHAUF DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282737284",
            "telephone_number": "704-918-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU",
        "first_name": "CHRISTOPHER",
        "middle_name": "OBIANOM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC5401",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC5401",
            "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 May 11, 2020; 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.