Active NPI
John Pabon, FNP
- Family Nurse Practitioner
- Fayetteville, NC
National Provider Identifier
1558459412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201536
- Practice address
- 1756 Metromedical Dr
Fayetteville, NC 28304-3861 - Phone
- (910) 323-1322
- Fax
- (910) 323-1510
- NPI assigned
- Oct 10, 2006
- Last updated
- Dec 3, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201536 | NC | Primary |
Addresses
Primary practice location
1756 Metromedical Dr
Fayetteville, NC 28304-3861
Mailing address
PO Box 43905
Fayetteville, NC 28309-3905
Phone (910) 323-1322
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201536 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa All American Family Healthcare, PLLC | Past | Accepting new patients | |
| Lafayette Clinic, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Fayetteville, NC
- NPI 1255661021
-
- Allergy & Immunology Physician
- Fayetteville, NC
- NPI 1356455059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1558459412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43905",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283093905",
"telephone_number": "910-323-1322",
"fax_number": "910-323-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1756 METROMEDICAL DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043861",
"telephone_number": "910-323-1322",
"fax_number": "910-323-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.