Individual provider Active NPI

Erin Laura Diamond-Paulsen, FNP

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1437673522
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009728 Issued in NC
Practice address
11640 Northpark Dr Ste 100
Wake Forest, NC 27587-5741
Phone
(919) 235-6540
NPI assigned
Jul 31, 2017
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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 5009728 NC Primary

Addresses

Primary practice location

11640 Northpark Dr Ste 100
Wake Forest, NC 27587-5741

Mailing address

1920 Hutchinson St
Knightdale, NC 27545-6779
Phone (252) 814-7000

Other practice location 1

302 N Greene St
Snow Hill, NC 28580-1412
Phone (252) 747-2921

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
I20171030000786 NC Practitioner - Nurse Practitioner 1951677368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Specialty Physicians LLCGroup PAC ID 7416006085, 178 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Wake Forest, NC 27587-5736
Phone (919) 235-6540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Specialty Physicians LLC CurrentSince Feb 7, 2022 Accepting new patients
Wake Specialty Physicians LLC CurrentSince Feb 7, 2022 Accepting new patients
Wake Specialty Physicians, LLC CurrentSince Sep 28, 2021 Accepting new patients

Locations

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

11640 Northpark Dr
Wake Forest, NC 27587
Phone (919) 234-4468

11640 Northpark Dr
Ste 100
Wake Forest, NC 27587
Phone (919) 235-6540

Interoperability endpoints

  • Direct secure messaging: ediamondpaulsen397303@directhisp.wakemed.org

Organizations & group practices 3

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 2

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": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1437673522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 HUTCHINSON ST",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456779",
            "telephone_number": "252-814-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 NORTHPARK DR STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875741",
            "telephone_number": "919-235-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 N Greene St",
            "address_purpose": "LOCATION",
            "city": "Snow Hill",
            "state": "NC",
            "postal_code": "285801412",
            "country_code": "US",
            "telephone_number": "252-747-2921",
            "fax_number": "252-747-2921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND-PAULSEN",
        "first_name": "ERIN",
        "middle_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.