Jettie Mae Patterson

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

131 Tulane Dr
Raeford, NC 28376-8006

Phone

(910) 257-7189

Fax

(910) 281-2056

NPI assigned

Jul 27, 2015

Sex

Female

Sole proprietor

Yes

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.

• Touching Lives Family Services

  • Early Intervention Provider Agency
  • Raeford, NC
  • NPI 1245685734
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2016.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1194100669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 TULANE DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768006",
            "telephone_number": "910-257-7189",
            "fax_number": "910-281-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 TULANE DR",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768006",
            "telephone_number": "910-257-7189",
            "fax_number": "910-281-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JETTIE",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Massiel Ortega, BT
• Outreach Journey Counseling PLLC
• Dwight Oxendine, RPH
• Josy Danielle Palmer
• Colbie Christian Parker, PA
• Stephan Patterson
• Rhonda Peterson, MA, LPC-A
• Brooke Phelps
• Yvette Josephine Piantadosi, NP
• Pinehurst Surgical Clinic PA

• All providers in Raeford, NC
• Early Intervention Provider Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.