Individual provider Active NPI

Ralph Warren Pasaporte Reyes, BSN RN

  • Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1780428946
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023795 Issued in NC
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

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
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 PLLCGroup PAC ID 2264420512, 75 clinicians

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

LicenseStateTypeSpecialty
318514NCMDNephrology Registered Nurse
5023795NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC CurrentSince Feb 2, 2026 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

Verify at the official NPI Registry.