Kera Tahmara Diggs Brown, SOLE PROPRIETOR

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

HC5105 Issued in NC

Practice address

4724 Grasset Ave
Charlotte, NC 28269-4025

Phone

(980) 875-8693

NPI assigned

Jul 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clean Hands Pure Heart

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1770104762
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1609420629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 GRASSET AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694025",
            "telephone_number": "980-875-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 GRASSET AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694025",
            "telephone_number": "980-875-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGS BROWN",
        "first_name": "KERA",
        "middle_name": "TAHMARA",
        "name_prefix": "Mrs.",
        "credential": "SOLE PROPRIETOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NC",
            "license": "HC5105",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "HC5105",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "HC5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVERS LICENSE",
            "identifier": "3892146",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "HC5105",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4724 Grasset Ave",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282694025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Gregory Dietz, DDS
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• John W Difiore, MD
• Courtney Difranco, MSW, LCSWA
• Kjuana Diggs, HAIR LOSS PRACTITION
• Digital Ultrasound Associates
• Digitrace Care Services Inc
• Daren Diiorio, MD
• Shawnae Dike, LPC

• Home Health Registered Nurse in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; 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.