NPIMap

Organization Active NPI

Equijourney International, LLC

  • Registered Nurse
  • Vass, NC
National Provider Identifier
1780069807
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
122888 Issued in NC
Legal business name
EQUIJOURNEY INTERNATIONAL, LLC
Practice address
1160 Aiken Rd
Vass, NC 28394-9679
Phone
(910) 398-0999
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Teresa M Graham, R.N, B.S.
Title
Owner
Phone
(910) 398-0999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 122888 NC Primary

Addresses

Primary practice location

1160 Aiken Rd
Vass, NC 28394-9679

Mailing address

1160 Aiken Rd
Vass, NC 28394-9679
Phone (910) 398-0999

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1780069807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 AIKEN RD",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949679",
            "telephone_number": "910-398-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 AIKEN RD",
            "city": "VASS",
            "state": "NC",
            "postal_code": "283949679",
            "telephone_number": "910-398-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIJOURNEY INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-398-0999",
        "authorized_official_credential": "R.N, B.S."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "122888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vass, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.