Active NPI
Sabrine A. Ishimwe
- Adult Psychiatric/Mental Health Registered Nurse
- Goldsboro, NC
National Provider Identifier
1114706249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 275584
- Practice address
- 1401 W Ash St
Goldsboro, NC 27530-1078 - Phone
- (919) 947-7000
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 275584 | NC | Primary |
Addresses
Primary practice location
1401 W Ash St
Goldsboro, NC 27530-1078
Mailing address
1543 Bridle Cir Apt E
Greenville, NC 27834-6694
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275584 | NC | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1114706249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1543 BRIDLE CIR APT E",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278346694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 W ASH ST",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275301078",
"telephone_number": "919-947-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISHIMWE",
"first_name": "SABRINE",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-27",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NC",
"license": "275584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.