Individual provider Active NPI

Sonia Melissia Patiram, FNP-C

  • Family Nurse Practitioner
  • High Point, NC
National Provider Identifier
1376248948
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265406 Issued in NC
Practice address
1320 N Hamilton St Ste 105
High Point, NC 27262-2731
Phone
(336) 905-7174
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 265406 NC Primary

Addresses

Primary practice location

1320 N Hamilton St Ste 105
High Point, NC 27262-2731

Mailing address

6275 Langdon Village CT
Clemmons, NC 27012-8006
Phone (347) 296-5066

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

State licenses

LicenseStateTypeSpecialty
265406NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1376248948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6275 LANGDON VILLAGE CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128006",
            "telephone_number": "347-296-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N HAMILTON ST STE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622731",
            "telephone_number": "336-905-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIRAM",
        "first_name": "SONIA",
        "middle_name": "MELISSIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "265406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.