Organization Active NPI

Dependable Nurses of NC Inc

  • Clinical Medical Laboratory
  • Huntersville, NC
National Provider Identifier
1629740659
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Tiffany Jackson, FNPNPI 1811470768
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211108001918 NC Part B Supplier - Mass Immunization (Roster Biller Only) 5092104323 Practice locations: Huntsville, NC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.