Active NPI
Jeanine Covich, LPN
- Licensed Practical Nurse
- Fayetteville, NC
National Provider Identifier
1881310027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 86406
- Practice address
- 3427 Melrose Rd
Fayetteville, NC 28304-1608 - Phone
- (910) 864-8739
- Fax
- (910) 864-8222
- NPI assigned
- Oct 19, 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 86406 | NC | Primary |
Addresses
Primary practice location
3427 Melrose Rd
Fayetteville, NC 28304-1608
Mailing address
3427 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 864-8739
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164W00000X | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | other | Other |
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 |
|---|---|---|---|
| 86406 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1881310027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3427 MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "910-864-8739",
"fax_number": "910-864-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3427 MELROSE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283041608",
"telephone_number": "910-864-8739",
"fax_number": "910-864-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COVICH",
"first_name": "JEANINE",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "86406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164W00000X",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "other",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "3427 Melrose Rd",
"city": "Fayetteville",
"state": "NC",
"country_code": "US",
"postal_code": "283041608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.