Organization Active NPI

Pause2

  • Specialist
  • Wilmington, NC
National Provider Identifier
1184827214
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0962 Issued in NC
Legal business name
PAUSE2
Practice address
1705 Fordham Rd
Wilmington, NC 28403-7111
Phone
(910) 392-8021
Fax
(910) 338-0034
NPI assigned
Jun 6, 2007
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Nita Arroyo Usero, OTRL
Title
Owner
Phone
(910) 392-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0962 NC Primary

Addresses

Primary practice location

1705 Fordham Rd
Wilmington, NC 28403-7111

Mailing address

1410 Marblehead CT
Wilmington, NC 28412-2086
Phone (910) 392-8021

Other identifiers 3

IdentifierTypeStateIssuer
7384584MedicaidNC
7210493MedicaidNC
0162LOtherNCBCBSNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1184827214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 MARBLEHEAD CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122086",
            "telephone_number": "910-392-8021",
            "fax_number": "910-338-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FORDHAM RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037111",
            "telephone_number": "910-392-8021",
            "fax_number": "910-338-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUSE2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "USERO",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "ARROYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-392-8021",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "0962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7384584",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7210493",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0162L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.