Individual provider Active NPI

Jasna M Torrez, MD

  • Pediatrics Physician
  • Hope Mills, NC
National Provider Identifier
1497916613
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
201600197 Issued in NC
Practice address
3436 N Main St
Hope Mills, NC 28348-1834
Phone
(910) 426-7337
Fax
(910) 426-3097
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 201600197 NC Primary

Addresses

Primary practice location

3436 N Main St
Hope Mills, NC 28348-1834

Mailing address

PO Box 647
Hope Mills, NC 28348-0647
Phone (910) 483-7337

Other identifiers 6

IdentifierTypeStateIssuer
2809163OtherNCCIGNA/GREATWEST
1497916613MedicaidNC
5927106OtherNCUNITED HEALTHCARE
13482688OtherNCPHCS/MULTIPLAN
FH1101960OtherNCFIRST CAROLINA CARE
261096OtherNCMEDCOST

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000260 NC Practitioner - Pediatric Medicine 1052771169 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201600197NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 12, 2023 Accepting new patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 12, 2023 Accepting new patients
Piedmont Health Services, Inc. Past Accepting new patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients

Locations

212 S Salem St
Apex, NC 27502
Phone (919) 362-5201

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 340-2500

1011 Rock Quarry Rd
Raleigh, NC 27610

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Organizations & group practices 6

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1497916613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283480647",
            "telephone_number": "910-483-7337",
            "fax_number": "910-483-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3436 N MAIN ST",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283481834",
            "telephone_number": "910-426-7337",
            "fax_number": "910-426-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "JASNA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "201600197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/GREATWEST",
            "identifier": "2809163",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497916613",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5927106",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS/MULTIPLAN",
            "identifier": "13482688",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CAROLINA CARE",
            "identifier": "FH1101960",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "261096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hope Mills, NC

Sources for this page

Verify at the official NPI Registry.