Active NPI
Pauline Ilogebe Ireh, NP
- Family Nurse Practitioner
- High Point, NC
National Provider Identifier
1033531074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134044
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180802001375 | TX | Practitioner - Nurse Practitioner | 9032349261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Healthworks PLLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Cypress, TX
- NPI 1760118681
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- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.