Quatavius Downing

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1270 Issued in NC

Practice address

700 W Saint James St Unit a
Tarboro, NC 27886-4931

Phone

(984) 368-1634

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Convenience Home Care Services

  • Home Health Agency
  • Tarboro, NC
  • NPI 1124799747
  NPD Authorized official

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1881365484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W SAINT JAMES ST UNIT A",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864931",
            "telephone_number": "984-368-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W SAINT JAMES ST UNIT A",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864931",
            "telephone_number": "984-368-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNING",
        "first_name": "QUATAVIUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NC",
            "license": "1270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN CODE",
            "identifier": "0914",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@conveniencehomecareservices.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 W Saint James St Unit A",
            "city": "Tarboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278864931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Dawes
• Vernice Dingle
• Bonnie Dixon, CPHT
• Tyeasia K Dorsey, CSAC, LCAS
• Tiffany Dowell
• Jon Dubose, MD
• Keosha Duson
• East Carolina Health - Heritage Inc
• East Carolina Health - Heritage Inc
• East Carolina Health - Heritage Inc

• Case Management Registered Nurse in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.