Individual provider Active NPI

Paula F New

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1700819372
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201473 Issued in NC
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

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
562014989OtherNCTRICARE
1700819372MedicaidNC

Other names 1

  • Ms. Paula F Housman-New Other name

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

LicenseStateTypeSpecialty
201473NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Behavior and Mental Health CurrentSince Feb 24, 2020 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.