Active NPI
Jillian Kay Hitchcock, CPO
- Prosthetist
- Raleigh, NC
National Provider Identifier
1306348354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 3410 Executive Dr Ste 203
Raleigh, NC 27609-7400 - Phone
- (919) 803-5869
- Fax
- (888) 635-6138
- NPI assigned
- Mar 6, 2018
- Last updated
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
3410 Executive Dr Ste 203
Raleigh, NC 27609-7400
Mailing address
3280 Lynn Ridge Dr Apt 2F
Raleigh, NC 27613-8920
Phone (585) 489-0829
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 |
|---|---|---|---|
| Del Bianco Enterprises | Orthotist | Past | Accepting new patients |
| Del Bianco Enterprises | Orthotist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Del Bianco Prosthetics & Orthotics
- Prosthetic/Orthotic Supplier
- Raleigh, NC
- NPI 1316217359
Orthotist
-
dba Del Bianco Prosthetics and Orthotics
- Customized Equipment (DME)
- Smithfield, NC
- NPI 1952122020
Orthotist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1306348354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 LYNN RIDGE DR APT 2F",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276138920",
"telephone_number": "585-489-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3410 EXECUTIVE DR STE 203",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097400",
"telephone_number": "919-803-5869",
"fax_number": "888-635-6138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HITCHCOCK",
"first_name": "JILLIAN",
"middle_name": "KAY",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-06",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.