Individual provider Active NPI

Folashade Ruth Paseda, FNP

  • Family Nurse Practitioner
  • Reidsville, NC
National Provider Identifier
1144968959
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016575 Issued in NC
Practice address
621 S Main St Ste 100
Reidsville, NC 27320-5034
Phone
(336) 951-6460
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06221897 NC
Family Nurse Practitioner 363LF0000X 5016575 NC Primary
General Practice Registered Nurse 163WG0000X 288927 NC

Addresses

Primary practice location

621 S Main St Ste 100
Reidsville, NC 27320-5034

Mailing address

798 Avalon Springs CT
High Point, NC 27265-2914
Phone (336) 457-3280

Other identifiers 3

IdentifierTypeStateIssuer
288927OtherNCNORTH CAROLINA BOARD OF NURSING
F06221897OtherNCAMERICAN ACADEMY OF NURSE PRACTITIONERS
F06221897OtherNCAANP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL OTHER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220930002564 NC Practitioner - Nurse Practitioner 4183000961 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, shared by 11 NPIs, 724 clinicians

Practice addresses (Care Compare)

2525 C Phillips Ave
Greensboro, NC 27405-5357
Phone (336) 832-7711

509 N Elam Ave
Greensboro, NC 27403-1129
Phone (336) 832-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288927NCMDGeneral Practice Registered Nurse
5016575NCMDFamily Nurse Practitioner
F06221897NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Nov 6, 2022 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 6, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

509 N Elam Ave
Ste 3E
Greensboro, NC 27403
Phone (336) 832-1970

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

2525 Phillips Ave
#C
Greensboro, NC 27405
Phone (336) 832-7711

509 N Elam Ave
Greensboro, NC 27403
Phone (336) 274-1114

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

621 S Main St
Ste 100
Reidsville, NC 27320
Phone (336) 342-6880

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1144968959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 AVALON SPRINGS CT",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652914",
            "telephone_number": "336-457-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S MAIN ST STE 100",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205034",
            "telephone_number": "336-951-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASEDA",
        "first_name": "FOLASHADE",
        "middle_name": "RUTH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F06221897",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016575",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NC",
            "license": "288927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NURSING",
            "identifier": "288927",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF  NURSE PRACTITIONERS",
            "identifier": "F06221897",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "F06221897",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "OTHER",
            "affiliation": "N",
            "address_1": "621 S Main St Ste 100",
            "city": "Reidsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273205034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

Verify at the official NPI Registry.