Individual provider Active NPI

Pauline Ilogebe Ireh, NP

  • Family Nurse Practitioner
  • High Point, NC
National Provider Identifier
1033531074
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134044 Issued in TX
Practice address
1814 Westchester Dr
Ste 301
High Point, NC 27262-7299
Phone
(336) 802-2025
Fax
(336) 802-2026
NPI assigned
Jan 10, 2014
Last updated
Jul 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134044 TX Primary

Addresses

Primary practice location

1814 Westchester Dr
Ste 301
High Point, NC 27262-7299

Mailing address

1021 Windcross CT
Franklin, TN 37067-2678
Phone (612) 428-6564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802001375 TX Practitioner - Nurse Practitioner 9032349261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Healthworks PLLC Family CurrentSince Aug 1, 2022 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients

Locations

10750 Barker Cypress Rd
Ste 1041039
Cypress, TX 77433
Phone (336) 403-9366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1033531074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 WINDCROSS CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672678",
            "telephone_number": "612-428-6564",
            "fax_number": "844-882-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 WESTCHESTER DR",
            "address_2": "STE 301",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627299",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IREH",
        "first_name": "PAULINE",
        "middle_name": "ILOGEBE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.