Active NPI
Jeree Monchelle Quezada, REGISTERED NURSE
- Registered Nurse
- Fuquay Varina, NC
National Provider Identifier
1669105383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 361387
- Practice address
- 5341 April Wind Dr
Fuquay Varina, NC 27526-9470 - Phone
- (910) 985-7163
- NPI assigned
- Jul 9, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 361387 | NC | Primary |
Addresses
Primary practice location
5341 April Wind Dr
Fuquay Varina, NC 27526-9470
Mailing address
5341 April Wind Dr
Fuquay Varina, NC 27526-9470
Phone (910) 985-7163
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 |
|---|---|---|---|
| 361387 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceful Living Home Care LLC | Current | Accepting new patients |
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.
-
- In Home Supportive Care Agency
- Fuquay Varina, NC
- NPI 1285442988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719100800000",
"number": "1669105383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5341 APRIL WIND DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269470",
"telephone_number": "910-985-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5341 APRIL WIND DR",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275269470",
"telephone_number": "910-985-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEZADA",
"first_name": "JEREE",
"middle_name": "MONCHELLE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-09",
"last_updated": "2024-06-23",
"certification_date": "2024-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "361387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
- Jessica Pruette, MS CCC-SLP
- Purposeful Innovative Education Solutions LLC (speller)
- Q1 Clinical Consultants, LLC
- Q1 Clinical Consultants, LLC
- Quality Care Behavioral Health & Counseling Services, PC
- Sarah Quint, RBT
- Michael S Quintilone, M.S. ED.
- Olivia Radcliffe
- Timothy Felipe Rainey, LPCA
- Amrita Ramji, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.