Active NPI
Family Intervention & Community Advocacy
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1578719860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY INTERVENTION & COMMUNITY ADVOCACY
- Doing business as
- F.I.C.A., Inc.
- Practice address
- 301 McCullough Dr
4TH Floor
Charlotte, NC 28262-3310 - Phone
- (919) 623-4485
- Fax
- (252) 793-3117
- NPI assigned
- Aug 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shemeika Anntoinette Lewis, B.A.
- Title
- President
- Phone
- (919) 623-4485
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Infusion Agency | 251F00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
301 McCullough Dr
4TH Floor
Charlotte, NC 28262-3310
Mailing address
301 McCullough Dr
4TH Floor
Charlotte, NC 28262-3310
Phone (919) 623-4485
Other names 1
- F.I.C.A., Inc.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260921600000",
"number": "1578719860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MCCULLOUGH DR",
"address_2": "4TH FLOOR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623310",
"telephone_number": "919-623-4485",
"fax_number": "252-793-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MCCULLOUGH DR",
"address_2": "4TH FLOOR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623310",
"telephone_number": "919-623-4485",
"fax_number": "252-793-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY INTERVENTION & COMMUNITY ADVOCACY",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-18",
"last_updated": "2009-12-16",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "SHEMEIKA",
"authorized_official_middle_name": "ANNTOINETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-623-4485",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "F.I.C.A., Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.