THERESA NKECHI EKENEDO NP
NPI 1164096319
Registered Nurse - Medical-Surgical in Charlotte, NC

Active since May 13, 2021PECOS Enrolled
1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 446-3451 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 27, 2026, May 21, 2021, May 13, 2021 (3 updates tracked since 2021).

About Theresa Nkechi Ekenedo Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA NKECHI EKENEDO NP (NPI 1164096319) is an individual medical-surgical provider in Charlotte, North Carolina, licensed in South Carolina (259365) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164096319
Entity TypeIndividualFemale
Primary Taxonomy163WM0705X
Provider Legal NameTHERESA NKECHI EKENEDOCredential: NP
Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812
Mailing Address713 Woburn Abbey DrFort Mill, SC 29715-6930 · (704) 808-0732
Sole ProprietorNo
Enumeration DateMay 13, 2021
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
NPI 1164096319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License Licensed in SC · 259365
Also ListedNurse PractitionerTaxonomy 363L00000X · License 24962 (SC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 24962 (SC)
1000 BLYTHE BLVD, Charlotte, NC 28203

Other Names 1

Former Name (1)Theresa Nkechi Okoye

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theresa Nkechi Ekenedo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pathology (Clinical Pathology/Laboratory Medicine)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Emergency Medicine
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Pharmacist (Pediatrics)
1000 BLYTHE BLVD
CHARLOTTE, NC 28203
Anesthesiology
1000 BLYTHE BLVD
CHARLOTTE, NC 28203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Ekenedo's NPI number?

The NPI number for Theresa Ekenedo is 1164096319. It was assigned to this individual provider in the NPPES registry on May 13, 2021. The provider is also known as Theresa Nkechi Okoye.

Where is Theresa Ekenedo located?

Theresa Ekenedo practices at 1000 Blythe Blvd, Charlotte, NC 28203. The listed phone number is (704) 446-3451.

What is Theresa Ekenedo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Medical-Surgical, with taxonomy code 163WM0705X.

Is Theresa Ekenedo enrolled in Medicare?

Yes. Theresa Ekenedo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Ekenedo was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.