Active NPI
Dependable Nurses of NC Inc
- Clinical Medical Laboratory
- Huntersville, NC
National Provider Identifier
1629740659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DEPENDABLE NURSES OF NC INC
- Doing business as
- Dependable Nurses of NC Inc
- Practice address
- 14130 Shaw Dr
Huntersville, NC 28078-0625 - Phone
- (704) 301-6353
- NPI assigned
- Sep 28, 2021
- Last updated
- Dec 3, 2021
- 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
- Tiffany Jackson, FNP
- Title
- Owner
- Phone
- (704) 301-6353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | NU | ||
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
14130 Shaw Dr
Huntersville, NC 28078-0625
Mailing address
14130 Shaw Dr
Huntersville, NC 28078-0625
Phone (704) 301-6353
Other names 1
- Dependable Nurses of NC Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211108001918 | NC | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092104323 | Practice locations: Huntsville, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Charlotte, NC
- NPI 1811470768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638489600000",
"number": "1629740659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14130 SHAW DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280780625",
"telephone_number": "704-301-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14130 SHAW DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280780625",
"telephone_number": "704-301-6353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPENDABLE NURSES OF NC INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-28",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-301-6353",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dependable Nurses of NC Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dependable Nurses of NC Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.