Individual provider Active NPI

Kjuana Diggs, HAIR LOSS PRACTITION

  • Prosthetics Case Management
  • Charlotte, NC
National Provider Identifier
1841839792
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
8510 McAlpine Park Dr Ste 209
Charlotte, NC 28211-6250
Phone
(980) 494-0011
NPI assigned
Dec 24, 2019
Reactivated
Feb 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case ManagementGroup: 193400000X SINGLE SPECIALTY GROUP 1744P3200X Primary

Addresses

Primary practice location

8510 McAlpine Park Dr Ste 209
Charlotte, NC 28211-6250

Mailing address

12830 English Walnut LN
Charlotte, NC 28215-5027
Phone (704) 961-8218

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Charlotte

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bjutiful Soul Health Prosthetics Case Management CurrentSince Apr 5, 2020 Accepting new patients
Bjutiful Soul Prosthetics Case Management CurrentSince Dec 29, 2019 Accepting new patients

Locations

8510 McAlpine Park Dr
Ste 209
Charlotte, NC 28211
Phone (980) 494-0011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1841839792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12830 ENGLISH WALNUT LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155027",
            "telephone_number": "704-961-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 MCALPINE PARK DR STE 209",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282116250",
            "telephone_number": "980-494-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGGS",
        "first_name": "KJUANA",
        "credential": "HAIR LOSS PRACTITION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-24",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "deactivation_date": "2019-12-24",
        "reactivation_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "8510 McAlpine Park Dr Ste 209",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282116250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.