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
- 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 and National Provider Directory roles.
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.