Individual provider Active NPI

Lakita Dawston

  • In Home Supportive Care Agency
  • Cleveland, TN
National Provider Identifier
1447590781
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

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
1000000027218TNMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Reach Case Management CurrentSince Oct 20, 2024 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.

Verify at the official NPI Registry.