Active NPI
Keisha Hunterrorie
- Prosthetics Case Management
- Durham, NC
National Provider Identifier
1982153581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 1058 W Club Blvd
623
Durham, NC 27701-1104 - Phone
- (919) 423-5376
- NPI assigned
- Sep 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 174400000X | NC | |
| Prosthetics Case Management | 1744P3200X | NC | Primary |
Addresses
Primary practice location
1058 W Club Blvd
623
Durham, NC 27701-1104
Mailing address
1058 W Club Blvd
623
Durham, NC 27701-1104
Phone (919) 423-5376
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 |
|---|---|---|---|
| 174400000X | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KHR Beauty& Hairloss Center LLC | Prosthetics Case Management | Past | 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.
-
- Prosthetics Case Management
- Durham, NC
- NPI 1326572322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476057600000",
"number": "1982153581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 W CLUB BLVD",
"address_2": "623",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011104",
"telephone_number": "919-423-5376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1058 W CLUB BLVD",
"address_2": "623",
"city": "DURHAM",
"state": "NC",
"postal_code": "277011104",
"telephone_number": "919-423-5376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTERRORIE",
"first_name": "KEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-25",
"last_updated": "2016-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "174400000X",
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.