Active NPI
Lakita Dawston
- In Home Supportive Care Agency
- Cleveland, TN
National Provider Identifier
1447590781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Practice address
- 3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807 - Phone
- (423) 339-5590
- NPI assigned
- Feb 23, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Peer Specialist | 175T00000X | |||
| Community/Behavioral Health Agency | 251S00000X | 1000000027218 | TN | |
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3505 Adkisson Dr NW Ste 165
Cleveland, TN 37312-6807
Mailing address
3475 Buchanan Rd SE
Cleveland, TN 37323-0459
Phone (423) 579-2796
Other practice location 1
3505 Adkisson Dr NW Ste 163
Cleveland, TN 37312-6807
Phone (423) 339-5590
Other names 1
- Mrs. Lakita Quarles
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 |
|---|---|---|---|
| 1000000027218 | TN | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Positive Reach | Case Management | Current | Accepting new patients |
Locations
3505 Adkisson Dr NW
Ste 165
Cleveland, TN 37312
Phone (423) 339-5590
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": "1361577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1447590781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 BUCHANAN RD SE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373230459",
"telephone_number": "423-579-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 ADKISSON DR NW STE 165",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126807",
"telephone_number": "423-339-5590"
}
],
"practiceLocations": [
{
"address_1": "3505 Adkisson Dr NW Ste 163",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "TN",
"postal_code": "373126807",
"country_code": "US",
"telephone_number": "423-339-5590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSTON",
"first_name": "LAKITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-23",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TN",
"license": "1000000027218",
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAKITA",
"last_name": "QUARLES",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cleveland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.