Organization Active NPI

Hygenerate LLC

Doing business as Hygenerate

  • Family Medicine Physician
  • Oxford, NC
National Provider Identifier
1407565278
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HYGENERATE LLC
Doing business as
Hygenerate
Practice address
112 Wall St
Oxford, NC 27565-3255
Phone
(919) 339-1641
Fax
(984) 464-7709
NPI assigned
Nov 21, 2022
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Dr. Julianne Tondreau, DNP, APRN, FNP-BCNPI 1386047223
Title
Owner
Phone
(919) 599-4452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

112 Wall St
Oxford, NC 27565-3255

Mailing address

11845 Retail Dr # 1111
Wake Forest, NC 27587-7352
Phone (919) 599-4452

Other practice location 1

82 Terrace Ave
Henderson, NC 27536-4849
Phone (919) 599-4452

Other identifiers 1

IdentifierTypeStateIssuer
1386047223MedicaidNC

Other names 1

  • Hygenerate Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230112000254 NC Part B Supplier - Clinic/Group Practice 3375913114 Receives reassigned benefits from 1 practitioner
Practice locations: Oxford, NC; Wake Forest, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2277482Hygenerate112 Wall St, Oxford, NC 27565Certificate of waiverFeb 27, 2027

National Provider Directory

National Provider Directory

Locations

11845 Retail Dr
Wake Forest, NC 27587
Phone (860) 578-4811

Practitioners & affiliated clinicians

Practitioners 3

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1407565278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11845 RETAIL DR # 1111",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877352",
            "telephone_number": "919-599-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WALL ST",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275653255",
            "telephone_number": "919-339-1641",
            "fax_number": "984-464-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Terrace Ave",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275364849",
            "country_code": "US",
            "telephone_number": "919-599-4452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HYGENERATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "TONDREAU",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-599-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386047223",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hygenerate",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hygenerate",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.