Active NPI
Nina Ruth Ivie, FNP-C, RN
- Family Nurse Practitioner
- Chapel Hill, NC
National Provider Identifier
1093015109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004932
- Practice address
- 101 Manning Drive
Occupational Health Service
Chapel Hill, NC 27514-4220 - Phone
- (984) 974-4489
- Fax
- (984) 974-7414
- NPI assigned
- Oct 25, 2010
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP APPROVAL #5004932 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5004932 | NC | Primary |
Addresses
Primary practice location
101 Manning Drive
Occupational Health Service
Chapel Hill, NC 27514-4220
Mailing address
101 Manning Drive
Occupational Health Service
Chapel Hill, NC 27514-4220
Phone (984) 974-4489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004638 | Medicaid | NC |
Other names 1
- Nina Ruth Allen
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nivie317915@direct.unc.nchie.net | Direct | |
| Direct Messaging Address | nivie317915@direct.unc.nchie.net | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP APPROVAL #5004932 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- nivie317915@direct.unc.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1093015109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DRIVE",
"address_2": "OCCUPATIONAL HEALTH SERVICE",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-4489",
"fax_number": "984-974-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MANNING DRIVE",
"address_2": "OCCUPATIONAL HEALTH SERVICE",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "984-974-4489",
"fax_number": "984-974-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVIE",
"first_name": "NINA",
"middle_name": "RUTH",
"credential": "FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2021-04-29",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "NP APPROVAL #5004932",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004638",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nivie317915@direct.unc.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Drive",
"address_2": "Occupational Health Service",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "27514",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nivie317915@direct.unc.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Drive",
"address_2": "Occupational Health Service",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NINA",
"last_name": "ALLEN",
"middle_name": "RUTH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.