Individual provider Active NPI

Yolanda Enrich, FNP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1619498987
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009626 Issued in NC
Practice address
652 E Monmouth St
Winston Salem, NC 27107-3227
Phone
(336) 718-4390
Fax
(336) 718-4399
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009626 NC Primary

Addresses

Primary practice location

652 E Monmouth St
Winston Salem, NC 27107-3227

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

4555 Ogburn Ave
Winston Salem, NC 27105-2726
Phone (336) 713-7188

Other practice location 2

512 Waughtown St
Winston Salem, NC 27127-2236
Phone (336) 792-1515

Other practice location 3

1215 N Cameron Ave
Winston Salem, NC 27101-1816
Phone (336) 713-7188

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yenrich718834@direct.novanthealth.org

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
I20171011000679 NC Practitioner - Nurse Practitioner 9739454190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5009626NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Family Health Services, Inc. CurrentSince Sep 5, 2017 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 5, 2017 Accepting new patients
Gaston Family Health Services, Inc. Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 13, 2018 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 13, 2018 Accepting new patients
Llibott Consultorios Medicos- WS,PLLC Past Accepting new patients
Iclinic, PA Past Accepting new patients

Locations

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

4555 Ogburn Ave
Winston Salem, NC 27105
Phone (336) 713-7188

1215 N Cameron Ave
Winston Salem, NC 27101
Phone (336) 703-6737

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11975/brand/1/csg/1/fhir/r4
  • Direct secure messaging: yenrich2974409@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1619498987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E MONMOUTH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073227",
            "telephone_number": "336-718-4390",
            "fax_number": "336-718-4399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4555 Ogburn Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271052726",
            "country_code": "US",
            "telephone_number": "336-713-7188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "512 Waughtown St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271272236",
            "country_code": "US",
            "telephone_number": "336-792-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 N Cameron Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271011816",
            "country_code": "US",
            "telephone_number": "336-713-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENRICH",
        "first_name": "YOLANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yenrich718834@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "512 Waughtown St",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271272236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.