Active NPI
Nicole Anne Whitfield
- Behavior Analyst
- Concord, NC
National Provider Identifier
1316532484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1660
- Practice address
- 420 Copperfield Blvd NE
Concord, NC 28025-2404 - Phone
- (704) 706-2200
- NPI assigned
- Mar 1, 2021
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Behavior Analyst | 103K00000X | 1660 | NC | Primary |
Addresses
Primary practice location
420 Copperfield Blvd NE
Concord, NC 28025-2404
Mailing address
PO Box 749
Belmont, NC 28012-0749
Phone (704) 869-2088
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1660 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1316532484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "BELMONT",
"state": "NC",
"postal_code": "280120749",
"telephone_number": "704-869-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 COPPERFIELD BLVD NE",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252404",
"telephone_number": "704-706-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITFIELD",
"first_name": "NICOLE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-01",
"last_updated": "2024-07-30",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "1660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.