Active NPI
Paula F New
- Family Nurse Practitioner
- Jacksonville, NC
National Provider Identifier
1700819372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201473
- Practice address
- 3221 Henderson Dr
Jacksonville, NC 28546-5251 - Phone
- (910) 219-8326
- Fax
- (910) 939-4269
- NPI assigned
- Jul 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 201473 | NC | |
| Family Nurse Practitioner | 363LF0000X | 201473 | NC | Primary |
Addresses
Primary practice location
3221 Henderson Dr
Jacksonville, NC 28546-5251
Mailing address
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 219-8326
Other practice location 1
118 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 219-8326
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562014989 | Other | NC | TRICARE |
| 1700819372 | Medicaid | NC |
Other names 1
- Ms. Paula F Housman-New
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201473 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Behavior and Mental Health | Current | Accepting new patients | |
| Sneads Ferry Medical Clinic PA | Past | Accepting new patients | |
| Family Care Clinic, P.a. | Past | Accepting new patients | |
| Emergency Physician Associates of North Carolina, P.C. | Past | Accepting new patients | |
| Onslow Memorial Hospital Inc | Past | Accepting new patients |
Locations
118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
Interoperability endpoints
- https://api.platform.athenahealth.com/12119/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Jacksonville, NC
- NPI 1770771750
-
- Emergency Medicine Physician
- Jacksonville, NC
- NPI 1306887609
-
- Clinic/Center
- Jacksonville, NC
- NPI 1316033590
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Family Medicine Physician
- Sneads Ferry, NC
- NPI 1477736874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1700819372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 MEMORIAL DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285466328",
"telephone_number": "910-219-8326",
"fax_number": "910-939-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 HENDERSON DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285465251",
"telephone_number": "910-219-8326",
"fax_number": "910-939-4269"
}
],
"practiceLocations": [
{
"address_1": "118 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466328",
"country_code": "US",
"telephone_number": "910-219-8326",
"fax_number": "910-577-1150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEW",
"first_name": "PAULA",
"middle_name": "F",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "201473",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "562014989",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700819372",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "HOUSMAN-NEW",
"middle_name": "F",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.