Individual provider Active NPI

Ruth Nzenwa, FNP-BC

  • Family Nurse Practitioner
  • High Point, NC
National Provider Identifier
1609340843
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233334 Issued in NC
Practice address
400 E Commerce Ave
High Point, NC 27260-5221
Phone
(336) 884-0224
NPI assigned
Jan 21, 2019
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 233334 NC Primary

Addresses

Primary practice location

400 E Commerce Ave
High Point, NC 27260-5221

Mailing address

400 E Commerce Ave
High Point, NC 27260-5221
Phone (336) 884-0224

Other practice location 1

1215 W Clemmonsville Rd Ste C
Winston Salem, NC 27127-4522
Phone (336) 300-8855 ext. 313

Other practice location 2

104 W Medical Park Dr
Lexington, NC 27292-6773
Phone (336) 224-0931 ext. 313

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Adult and Pediatric Medicine, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rnzenwa613183@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1609340843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E COMMERCE AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605221",
            "telephone_number": "336-884-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COMMERCE AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605221",
            "telephone_number": "336-884-0224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 W Clemmonsville Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271274522",
            "country_code": "US",
            "telephone_number": "336-300-8855 x313",
            "fax_number": "336-224-0932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 W Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272926773",
            "country_code": "US",
            "telephone_number": "336-224-0931 x313",
            "fax_number": "336-224-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NZENWA",
        "first_name": "RUTH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "233334",
            "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 Jan 13, 2021; 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.