Organization Active NPI

Wilkes Adult Developmental Activity Program

  • Developmentally Disabled Services Day Training Agency
  • North Wilkesboro, NC
National Provider Identifier
1831208875
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
WILKES ADULT DEVELOPMENTAL ACTIVITY PROGRAM
Practice address
902 Boston Avenue
North Wilkesboro, NC 28659-0968
Phone
(336) 667-1800
Fax
(336) 667-0694
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Robin B. Whittington
Title
Executive Director
Phone
(336) 667-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NC Primary

Addresses

Primary practice location

902 Boston Avenue
North Wilkesboro, NC 28659-0968

Mailing address

PO Box 968
North Wilkesboro, NC 28659-0968
Phone (336) 667-1800

National Provider Directory

National Provider Directory

Locations

820 Boston Ave
North Wilkesboro, NC 28659
Phone (336) 667-1800

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831208875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286590968",
            "telephone_number": "336-667-1800",
            "fax_number": "336-667-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 BOSTON AVENUE",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286590968",
            "telephone_number": "336-667-1800",
            "fax_number": "336-667-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES ADULT DEVELOPMENTAL ACTIVITY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-667-1800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.