Active NPI
Aketre Whitaker
- Case Management Agency
- Whitakers, NC
National Provider Identifier
1629688122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 526 Coker Town Rd
Whitakers, NC 27891-8942 - Phone
- (252) 228-5852
- NPI assigned
- Aug 9, 2020
- Last updated
- Aug 18, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
526 Coker Town Rd
Whitakers, NC 27891-8942
Mailing address
408 Sanders Dr
Rocky Mount, NC 27801-7839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108090325 | Other | PRIVATE | |
| 110809325 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | awhitaker@atouchbyfaithllc.org |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1629688122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 SANDERS DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278017839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 COKER TOWN RD",
"city": "WHITAKERS",
"state": "NC",
"postal_code": "278918942",
"telephone_number": "252-228-5852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "AKETRE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-09",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE",
"identifier": "1108090325",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110809325",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "awhitaker@atouchbyfaithllc.org",
"affiliation": "N",
"address_1": "526 Coker Town Rd",
"city": "Whitakers",
"state": "NC",
"country_code": "US",
"postal_code": "278918942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Whitakers, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.