Active NPI
Kiptena Dawkins
- In Home Supportive Care Agency
- Charlotte, NC
National Provider Identifier
1023719358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC6119
- Practice address
- 5736 N Tryon St Ste 221C
Charlotte, NC 28213-0820 - Phone
- (980) 498-6143
- NPI assigned
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC6119 | NC | Primary |
Addresses
Primary practice location
5736 N Tryon St Ste 221C
Charlotte, NC 28213-0820
Mailing address
2500 Sandy River LN Apt 204
Charlotte, NC 28273-4885
Phone (864) 641-5278
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC6119 | NC | MD | In Home Supportive Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1023719358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 SANDY RIVER LN APT 204",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282734885",
"telephone_number": "864-641-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5736 N TRYON ST STE 221C",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282130820",
"telephone_number": "980-498-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWKINS",
"first_name": "KIPTENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC6119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.