Tijuana Del Roya White

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC5490 Issued in NC

Practice address

2413 Robeson St Ste 1
Fayetteville, NC 28305-5500

Phone

(109) 491-3069

Fax

(910) 229-2143

NPI assigned

Jan 22, 2020

Last updated

May 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lor-Crowe Family Care Home

  • Adult Care Home Facility
  • Tarboro, NC
  • NPI 1710671441
  NPD Authorized official
• Lor-Raine Home Care Agency LLC

  • In Home Supportive Care Agency
  • Fayetteville, NC
  • NPI 1568086858
  NPD Authorized official
• Lor-Raine Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Fayetteville, NC
  • NPI 1548966674
  NPD Authorized official

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1912537523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 ROBESON ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055500",
            "telephone_number": "910-491-3069",
            "fax_number": "910-229-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 ROBESON ST STE 1",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055500",
            "telephone_number": "109-491-3069",
            "fax_number": "910-229-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TIJUANA",
        "middle_name": "DEL ROYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J White, DPT
• Shana White
• Sheleka White
• Stephanie White, LMFT 2022
• Taryn Nicole White, OTR/L
• Washington Dennis White, LPC
• Zoe White
• Zollie White III, MD, PHD
• Courtney Parker Whitehead, PSY.D.
• Shenae Lasandra Whitehead, PHD, MA, LPA, LCMHCS

• In Home Supportive Care Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.