Active NPI
John Deveraux Higgins, RCP
- Critical Care Registered Respiratory Therapist
- Charlotte, NC
National Provider Identifier
1881374957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Registered Respiratory Therapist
- License
- 9289
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 466-0200
- NPI assigned
- Jul 24, 2023
- Last updated
- Jul 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Registered Respiratory Therapist | 2279C0205X | 9289 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
6047 Creft Cir
Indian Trail, NC 28079-9543
Phone (704) 388-8874
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9289 | NC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1881374957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6047 CREFT CIR",
"city": "INDIAN TRAIL",
"state": "NC",
"postal_code": "280799543",
"telephone_number": "704-388-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-466-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "JOHN",
"middle_name": "DEVERAUX",
"name_prefix": "Mr.",
"credential": "RCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2023-07-24",
"certification_date": "2023-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "2279C0205X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Critical Care",
"state": "NC",
"license": "9289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.