Individual provider Active NPI

Amaryllis Maldonado Torres, FNP-BC

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1831740604
Registry record updated Sep 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012319 Issued in NC
Practice address
2701 Medical Place
Goldsboro, NC 27534
Phone
(919) 739-8680
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012319 NC Primary

Addresses

Primary practice location

2701 Medical Place
Goldsboro, NC 27534

Mailing address

2701 Medical Office PL
Goldsboro, NC 27534-9458
Phone (919) 739-8680

Other practice location 1

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6202

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Amaryllis.TorresFNPBC@gmail.com Direct

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
I20191210001046 NC Practitioner - Nurse Practitioner 9436582244 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5012319NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians East, PA CurrentSince Dec 1, 2019 Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince Oct 1, 2020 Accepting new patients
Physicians East, P.a. CurrentSince Dec 1, 2019 Accepting new patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Feb 25, 2021 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Feb 25, 2021 Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

2701 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 739-8680

1850 W Arlington Blvd
Greenville, NC 27834
Phone (252) 413-6641

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

Interoperability endpoints

  • Direct secure messaging: atorres@goshenmedical.cloudcraftdirect.com

Organizations & group practices 8

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1831740604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MEDICAL OFFICE PL",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349458",
            "telephone_number": "919-739-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 MEDICAL PLACE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-739-8680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 W Arlington Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278345704",
            "country_code": "US",
            "telephone_number": "252-413-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "AMARYLLIS",
        "middle_name": "MALDONADO",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-09-10",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Amaryllis.TorresFNPBC@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1850 W Arlington Blvd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278345704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.