Active NPI
Tawanda Duncan, HEALTH ADMINISTRATOR
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1245689900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1801 N Tryon St Ste 350
Charlotte, NC 28206-2789 - Phone
- (704) 780-3047
- Fax
- (980) 430-5635
- NPI assigned
- Jun 3, 2016
- 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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1801 N Tryon St Ste 350
Charlotte, NC 28206-2789
Mailing address
1801 N Tryon St Ste 350
Charlotte, NC 28206-2789
Phone (704) 780-3047
Other practice location 1
1232 Elise Marie Dr
Charlotte, NC 28214-8120
Phone (704) 780-3047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8470783 | Other | NC | DRIVERS LICENCSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Youth Association | Current | Accepting new patients | |
| Global Pros Staffing Solutions | Home Health | Current | Accepting new patients |
| Enchanted Home Health Agency | Home Health | Past | Accepting new patients |
| Pandoras Staffing Soultions | Home Health | Past | Accepting new patients |
Locations
1801 N Tryon St
Ste 350
Charlotte, NC 28206
Phone (704) 780-3047
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Charlotte, NC
- NPI 1245759612
-
- Home Health Agency
- Charlotte, NC
- NPI 1437700168
-
- Home Health Agency
- Charlotte, NC
- NPI 1366944621
-
- Home Health Agency
- Charlotte, NC
- NPI 1700235462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1245689900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062789",
"telephone_number": "704-780-3047",
"fax_number": "980-430-5635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 N TRYON ST STE 350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282062789",
"telephone_number": "704-780-3047",
"fax_number": "980-430-5635"
}
],
"practiceLocations": [
{
"address_1": "1232 Elise Marie Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282148120",
"country_code": "US",
"telephone_number": "704-780-3047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "TAWANDA",
"name_prefix": "Ms.",
"credential": "HEALTH ADMINISTRATOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENCSE",
"identifier": "8470783",
"state": "NC"
}
],
"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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.