Active NPI
Ralph Warren Pasaporte Reyes, BSN RN
- Nurse Practitioner
- Goldsboro, NC
National Provider Identifier
1780428946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5023795
- Practice address
- 2809 McLamb PL
Goldsboro, NC 27534-1647 - Phone
- (919) 580-9840
- Fax
- (919) 580-9838
- NPI assigned
- Jun 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 318514 | NC | |
| Nurse Practitioner | 363L00000X | 5023795 | NC | Primary |
Addresses
Primary practice location
2809 McLamb PL
Goldsboro, NC 27534-1647
Mailing address
PO Box 3317
Greenville, NC 27836-1317
Phone (252) 752-8880
Other names 1
- Ralph Warren Pasaporte Reyes
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260306001454 | NC | Practitioner - Nurse Practitioner | 3678055704 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eastern Nephrology Associates PLLC
Practice addresses (Care Compare)
2809 McLamb PL
Goldsboro, NC 27534-1647
Phone (919) 580-9840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 318514 | NC | MD | Nephrology Registered Nurse |
| 5023795 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Nephrology Associates PLLC | Current | Accepting new patients |
Locations
2809 McLamb Pl
Goldsboro, NC 27534
Phone (919) 580-9840
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1780428946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3317",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278361317",
"telephone_number": "252-752-8880",
"fax_number": "252-317-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 MCLAMB PL",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341647",
"telephone_number": "919-580-9840",
"fax_number": "919-580-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYES",
"first_name": "RALPH WARREN",
"middle_name": "PASAPORTE",
"name_prefix": "Mr.",
"credential": "BSN RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-22",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "NC",
"license": "318514",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5023795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RALPH",
"last_name": "REYES",
"middle_name": "WARREN PASAPORTE",
"credential": "NP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.