Active NPI
Barbara Joan Paolucci, FNP-C
- Nurse Practitioner
- Leland, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5005603
- Practice address
- 509 Olde Waterford Way
Leland, NC 28451-4125 - Phone
- (910) 408-1130
- NPI assigned
- May 7, 2012
- Last updated
- Dec 17, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005603 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | F337078-1 | NY | |
| Family Nurse Practitioner | 363LF0000X | 5005603 | NC |
Addresses
Primary practice location
509 Olde Waterford Way
Leland, NC 28451-4125
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 754-5988
Other practice location 1
16 Medical Center Dr
Supply, NC 28462-3350
Phone (910) 754-8921
Other practice location 2
16 Medical Center Dr
Supply, NC 28462-3350
Phone (910) 754-8921
Other practice location 3
18 Doctors Cir Ste I
Supply, NC 28462-4089
Phone (910) 332-3800
Other practice location 4
13 Medical Campus Dr NW Ste 102
Supply, NC 28462
Phone (910) 754-5988
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bpaolucci218895@direct.novanthealth.org |
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 |
|---|---|---|---|
| 5005603 | NC | MD | Nurse Practitioner |
| F337078-1 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Pain Institute, PA | Past | Accepting new patients |
Interoperability endpoints
- bpaolucci218895@direct.novanthealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- Asheboro, NC
- NPI 1942547120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1851650196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "910-754-5988",
"fax_number": "910-754-5989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 OLDE WATERFORD WAY",
"city": "LELAND",
"state": "NC",
"postal_code": "284514125",
"telephone_number": "910-408-1130"
}
],
"practiceLocations": [
{
"address_1": "16 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284623350",
"country_code": "US",
"telephone_number": "910-754-8921",
"fax_number": "910-754-7140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284623350",
"country_code": "US",
"telephone_number": "910-754-8921",
"fax_number": "910-754-7140",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18 Doctors Cir Ste I",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284624089",
"country_code": "US",
"telephone_number": "910-332-3800",
"fax_number": "910-332-3833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13 Medical Campus Dr NW Ste 102",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "28462",
"country_code": "US",
"telephone_number": "910-754-5988",
"fax_number": "910-754-5989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAOLUCCI",
"first_name": "BARBARA",
"middle_name": "JOAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-07",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005603",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F337078-1",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005603",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bpaolucci218895@direct.novanthealth.org",
"affiliation": "N",
"address_1": "18 Doctors Cir Ste I",
"city": "Supply",
"state": "NC",
"country_code": "US",
"postal_code": "284624089",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.