Individual provider Active NPI

Barbara Joan Paolucci, FNP-C

  • Nurse Practitioner
  • Leland, NC
National Provider Identifier
1851650196
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005603 Issued in NC
Practice address
509 Olde Waterford Way
Leland, NC 28451-4125
Phone
(910) 408-1130
NPI assigned
May 7, 2012
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
5005603NCMDNurse Practitioner
F337078-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pain Institute, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.