Individual provider Active NPI

Anna M Hiltibidal

  • Prevention Professional
  • Eastover, NC
National Provider Identifier
1588591663
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
5739-15 Issued in NC
Practice address
4646 Draughon Rd
Eastover, NC 28312-8481
Phone
(618) 407-8881
NPI assigned
May 5, 2026
Sex
Female
Sole proprietor
Yes

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
5739-15NCMDPrevention Professional

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 5739-15 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

4646 Draughon Rd
Eastover, NC 28312-8481

Mailing address

4646 Draughon Rd
Eastover, NC 28312-8481
Phone (618) 407-8881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 5, 2026.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1588591663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 DRAUGHON RD",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "283128481",
            "telephone_number": "618-407-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 DRAUGHON RD",
            "city": "EASTOVER",
            "state": "NC",
            "postal_code": "283128481",
            "telephone_number": "618-407-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTIBIDAL",
        "first_name": "ANNA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "NC",
            "license": "5739-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.