Individual provider Active NPI

Irene Naa-Shorme Salley, MSN RN

  • Registered Nurse
  • Pinehurst, NC
National Provider Identifier
1295534592
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
240857 Issued in NC
Practice address
222 Central Park Ave
Ste E #513
Pinehurst, NC 28374-8803
Phone
(919) 441-0543
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 240857 NC Primary

Addresses

Primary practice location

222 Central Park Ave
Ste E #513
Pinehurst, NC 28374-8803

Mailing address

222 Central Park Ave
Ste E #513
Pinehurst, NC 28374-8803
Phone (919) 441-0543

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
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
240857NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
In Health, LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

222 Central Park Ave
#E
Pinehurst, NC 28374
Phone (919) 441-0543

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1295534592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CENTRAL PARK AVE",
            "address_2": "STE E #513",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748803",
            "telephone_number": "919-441-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CENTRAL PARK AVE",
            "address_2": "STE E #513",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748803",
            "telephone_number": "919-441-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEY",
        "first_name": "IRENE",
        "middle_name": "NAA-SHORME",
        "credential": "MSN RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "240857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.