Individual provider Active NPI

Karita Duggins

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1447430418
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21063 Issued in NC
Practice address
9700 Research Dr Ste 105
Charlotte, NC 28262
Phone
(704) 496-9620
Fax
(704) 496-9622
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21063 NC Primary

Addresses

Primary practice location

9700 Research Dr Ste 105
Charlotte, NC 28262

Mailing address

3511 Mallard Way Dr
Charlotte, NC 28216-1618
Phone (980) 253-0830

Other practice location 1

9700 Research Dr Ste 105
Charlotte, NC 28262
Phone (704) 496-9620

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

LicenseStateTypeSpecialty
21063NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Hope Current Accepting new patients

Locations

9700 Research Dr
Ste 105
Charlotte, NC 28262
Phone (704) 496-9620

Organizations & group practices 1

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1447430418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 MALLARD WAY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161618",
            "telephone_number": "980-253-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 RESEARCH DR STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-496-9620",
            "fax_number": "704-496-9622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9700 Research Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28262",
            "country_code": "US",
            "telephone_number": "704-496-9620",
            "fax_number": "704-496-9622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGGINS",
        "first_name": "KARITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21063",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 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.