Niquetta Dockery

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

21621 Bundy St
Wagram, NC 28396-8803

Phone

(910) 373-1012

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1144092842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21621 BUNDY ST",
            "city": "WAGRAM",
            "state": "NC",
            "postal_code": "283968803",
            "telephone_number": "910-373-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21621 BUNDY ST",
            "city": "WAGRAM",
            "state": "NC",
            "postal_code": "283968803",
            "telephone_number": "910-373-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "NIQUETTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beneficial Adult Care Program (Learning Curve)
• Haywood Haven
• Jenna L Henderson
• Rolanda Faulk Jones, LCMHC-A
• Linda Marie McLaughlin, OWNER
• Dana Latoya McQueen Whitfield, LPC,NCC

• Community/Behavioral Health Agency in Wagram, NC
• Providers in Wagram, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.

Verify at the official NPI Registry.