Active NPI
Gracienne Jean-Pierre
- Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1750380192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5006141
- Practice address
- 13304 Leesville Church Rd # 5313
Raleigh, NC 27617-5206 - Phone
- (919) 845-5276
- NPI assigned
- Jul 19, 2005
- Last updated
- Sep 22, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5006141 | NC | Primary |
| Nurse Practitioner | 363L00000X | 18073 | SC | |
| Family Nurse Practitioner | 363LF0000X | NC5006141 | NC |
Addresses
Primary practice location
13304 Leesville Church Rd # 5313
Raleigh, NC 27617-5206
Mailing address
1525 W W T Harris Blvd
Charlotte, NC 28262-8522
Other practice location 1
2242 W Roosevelt Blvd Ste E
Monroe, NC 28110-3071
Phone (980) 326-0024
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC5006141 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursemd at Home, LLC | Past | Accepting new patients | |
| Rural Medical Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Deland, FL
- NPI 1528017183
-
dba Wildwood Medical Center
- Rural Health Clinic/Center
- Wildwood, FL
- NPI 1770570806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1750380192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 W W T HARRIS BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282628522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13304 LEESVILLE CHURCH RD # 5313",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276175206",
"telephone_number": "919-845-5276"
}
],
"practiceLocations": [
{
"address_1": "2242 W Roosevelt Blvd Ste E",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281103071",
"country_code": "US",
"telephone_number": "980-326-0024",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JEAN-PIERRE",
"first_name": "GRACIENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5006141",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "18073",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "NC5006141",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Jaycee's Home Care
- JD Welch Counseling PLLC
- JD Welch Counseling PLLC
- Jean E Aycock MD PA
- Jean G. You, DDS PLLC (Little Tooth Co.)
- Jeannies Touch, LLC
- Nicole Vanmeter Jeffcoate, MS,CCC-SLP
- Jeffers Mann & Artman Pediatric & Adolesent Medicine PA
- Robert Gordon Jeffers, MD
- Cathleen Tammy Jefferson Pulley, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.