Individual provider Active NPI

Tawanda Duncan, HEALTH ADMINISTRATOR

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1245689900
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8470783OtherNCDRIVERS 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

OrganizationSpecialtyStatusNew patients
Carolina Youth Association CurrentSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.