Active NPI
Helene Reilly, F.N.P.
- Nurse Practitioner
- Greenville, NC
National Provider Identifier
1972575447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0002-01732
- Practice address
- Medical Pavilion Cardiologists
1800 West 5TH Street Suites 2 & 4
Greenville, NC 27834 - Phone
- (252) 744-2207
- Fax
- (252) 744-3987
- NPI assigned
- Feb 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0002-01732 | NC | Primary |
Addresses
Primary practice location
Medical Pavilion Cardiologists
1800 West 5TH Street Suites 2 & 4
Greenville, NC 27834
Mailing address
PO Box 751069
Charlotte, NC 28275-1069
Phone (252) 744-3253
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000413 | Medicaid | NC | |
| P00022789 | Other | NC | RAILROAD MEDICARE |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002-01732 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina University | Past | Accepting new patients | |
| East Carolina University | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Greenville, NC
- NPI 1528016938
-
- Pediatrics Physician
- Greenville, NC
- NPI 1730139171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1972575447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751069",
"telephone_number": "252-744-3253",
"fax_number": "252-744-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL PAVILION CARDIOLOGISTS",
"address_2": "1800 WEST 5TH STREET SUITES 2 & 4",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-744-2207",
"fax_number": "252-744-3987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REILLY",
"first_name": "HELENE",
"name_prefix": "Ms.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "0002-01732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000413",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00022789",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.