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

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

State licenses

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 and National Provider Directory roles.

• Americare Health

  • Internal Medicine Physician
  • Wadesboro, NC
  • NPI 1487667226

  NC

  Medicare reassignment NPD
• Americare Health

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

  • 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 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.