Lite Brites

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

LITE BRITES

Practice address

3040 Bethwicke CT
Raleigh, NC 27604-4964

Phone

(910) 538-6744

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Tari Sellers

Title

Co-Owner

Phone

(910) 538-6744

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1891386223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BETHWICKE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044964",
            "telephone_number": "910-538-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 BETHWICKE CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044964",
            "telephone_number": "910-538-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITE BRITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "TARI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "910-538-6744"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5200",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Driver in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Driver in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.