Avitus Maroba Itoe

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010863 Issued in NC

Practice address

4155 Ferncreek Dr
Fayetteville, NC 28314-2581

Phone

(910) 425-5999

Fax

(910) 920-4313

NPI assigned

Aug 21, 2018

Last updated

Aug 21, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Americare Health

  dba Anson Medical Center

  • Internal Medicine Physician
  • Wadesboro, NC
  • NPI 1487667226
  Medicare reassignment NPD
• Americare Health

  dba Americare at the Park

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1528071453
  NPD
• Americare Health, PC

  dba Plaza Medical

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1881607893
  NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1669952495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 LUTON CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622648",
            "telephone_number": "704-974-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 FERNCREEK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142581",
            "telephone_number": "910-425-5999",
            "fax_number": "910-920-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITOE",
        "first_name": "AVITUS",
        "middle_name": "MAROBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Israel
• It-S About You Logistics
• It-S About You, Inc (IT-S About You In-Home Care)
• It's Just an Airway, Respiratory Consulting and Clinical Services
• Kimberly Akiye Michiko Ito, DPT
• Marko Ivancich, M.D.
• Kristina Ivey
• Reagan L Ivey, NP
• Yasir Izhar
• J J Compassionate Home Care

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.