MRS. KEYNADOMNICIA CHIOMA UDENZE


Address: 5 Firstvillage Drive, Pinehurst, NC 28374
Phone: 9102152520

MRS. KEYNADOMNICIA CHIOMA UDENZE (NPI# 1679923635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679923635
Entity Type Individual
Full Name MRS. KEYNADOMNICIA CHIOMA UDENZE
Credential AGNP-BC
Practice Address 5 Firstvillage Drive
Pinehurst
NC 28374
Mailing Address 208 Wildspring Ct
Apex
NC 27539-6264
Practice Telephone 9102152520
Practice Fax Number 9102950244
Mailing Telephone 2147278681
Enumeration Date 2016-06-20
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
5009687 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
AP131087 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX NURSE PRACTITIONER LICENSE AP131087 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
3637 Cape Center Dr, Fayetteville, NC 283044457 9104911760 9104911764

Office Location

Street Address 5 FIRSTVILLAGE DRIVE
City PINEHURST
State NC
Zip Code 28374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407850274 Huey Willy Chu Surgery 5 Firstvillage Drive, Pinehurst, NC 28374 2005-06-09
1851877005 Chelsea Lynn Mitek Registered Nurse 5 Firstvillage Drive, Pinehurst, NC 28374 2018-07-11
1922554088 Tracy Christina Mcadoo Nurse Practitioner 5 Firstvillage Drive, Pinehurst, NC 28374 2016-08-29
1093260549 Lillian Grace Schnitzer Nurse Practitioner 5 Firstvillage Drive, Pinehurst, NC 28374 2016-08-24
1144687609 Desek Coray Gibson Physician Assistant 5 Firstvillage Drive, Pinehurst, NC 28374 2016-01-28
1043675291 Robert A Bibey Physician Assistant 5 Firstvillage Drive, Pinehurst, NC 28374 2015-12-15
1033532791 Stephen M. Bush Physician Assistant 5 Firstvillage Drive, Pinehurst, NC 28374 2014-01-30
1437590072 Catherine Jane Helming-sauter Physician Assistant 5 Firstvillage Drive, Pinehurst, NC 28374 2013-07-11
1073951844 Taylor Mccauley Obstetrics & Gynecology 5 Firstvillage Drive, Pinehurst, NC 28374 2013-06-13
1356613855 Matthew David Cuthrell Physician Assistant 5 Firstvillage Drive, Pinehurst, NC 28374 2012-01-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841855160 Ashley Nicole Jimenez Registered Nurse 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 2019-05-02
1063076552 Lesley Anne Pritchard Physician Assistant 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 2019-04-30
1477003697 Whitney Byrd Franco Counselor 325 Page Rd Bldg 3, Pinehurst, NC 28374 2016-10-12
1649678715 Laura Davies Counselor 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 2014-12-05
1942611280 Ann Marie Toebes Richards Family Medicine 150 Ivey Lane, Suite B, Pinehurst, NC 28374 2014-05-08
1912328329 Rebekah Thomas Wood Behavioral Analyst 350 Diamondhead Dr S, Pinehurst, NC 28374 2014-01-02
1558643015 Michael A Rohrer Prosthetist 95 Aviemore Drive, Pinehurst, NC 28374 2011-09-12
1861799199 Quality Care Pharmacy of The Sandhills Pharmacy 65 Parker Lane, Pinehurst, NC 28374 2011-02-23
1750681185 Robin G Cummings Thoracic Surgery (Cardiothoracic Vascular Surgery) 360 Tall Timbers Drive, Pinehurst, NC 28374 2010-11-02
1942523402 Laura Schramm Kuzma Counselor 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 2010-03-11
Find all providers in zip 28374

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346658564 Liza Anton-valdez Nurse Practitioner 211 Tall Trees Dr, Pinehurst, NC 28374-8526 2014-07-31
1932108818 Jerri P Patterson Nurse Practitioner 165 Turnberry Way, Pinehurst, NC 28374-8509 2005-07-21
1790394898 Preferred Network Pllc Nurse Practitioner 211 Tall Trees Dr, Pinehurst, NC 28374-8526 2020-07-24
1669013553 At Home Medical Care Pllc Nurse Practitioner 211 Tall Trees Dr, Pinehurst, NC 28374-8526 2019-10-02
1922668904 Bobbi S Clark Nurse Practitioner 220 Page Rd, Pinehurst, NC 28374-8748 2019-06-20
1356833958 Meagan Bradham Mclean Nurse Practitioner 165 Turnberry Way, Pinehurst, NC 28374-8509 2018-05-31
1396252722 Sara Lawrence Nurse Practitioner 155 Memorial Dr, Pinehurst, NC 28374-8710 2018-01-08
1720504558 Lisha A Steed Nurse Practitioner 15 Regional Dr, Pinehurst, NC 28374-8850 2017-08-14
1922478049 Katherine N Wylie Nurse Practitioner 15 Regional Dr, Pinehurst, NC 28374-8850 2015-10-01
1801291935 Deanna L Mills Nurse Practitioner 205 Page Rd, Pinehurst, NC 28374-8749 2014-10-31
Find all providers in PINEHURST

Competitor

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City PINEHURST
Zip Code 28374

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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