MRS. KERA TAHMARA DIGGS BROWN (NPI# 1609420629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609420629 |
Entity Type | Individual |
Full Name | MRS. KERA TAHMARA DIGGS BROWN |
Credential | SOLE PROPRIETOR |
Practice Address |
4724 Grasset Ave Charlotte NC 28269-4025 |
Practice Telephone | 9808758693 |
Mailing Telephone | 9808758693 |
Enumeration Date | 2019-07-29 |
Last Update Date | 2020-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
HC5105 | NC | Nursing Service Providers |
N | 385H00000X | Respite Care | HC5105 | NC | Respite Care Facility |
N | 172V00000X | Community Health Worker | HC5105 | NC | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DIVERS LICENSE | 3892146 | 01 |
BUSINESS LICENSE | HC5105 | 01 |
Street Address |
4724 GRASSET AVE |
City | CHARLOTTE |
State | NC |
Zip Code | 28269-4025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770104762 | Clean Hands Pure Heart | In Home Supportive Care | 4724 Grasset Ave, Charlotte, NC 28269-4025 | 2020-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
Find all providers in zip 28269 |
Taxonomy Code | 163WH0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Home Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235662867 | Kathy Cutler | Registered Nurse | 3517 Sudbury Rd, Charlotte, NC 28205-4331 | 2017-04-10 |
1295154573 | Christabel Sarfo | Registered Nurse | 13220 Steelecroft Pkwy, Apt 203, Charlotte, NC 28278-7522 | 2014-04-15 |
1124301205 | Healthcare Institute of Charlotte, LLC | Registered Nurse | 3547 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8996 | 2011-09-24 |
1639235872 | Gentle Hearts Home Care, Inc | Registered Nurse | 6047 Tyvola Glen Cir # 101, Charlotte, NC 28217-6431 | 2006-12-30 |
1598370934 | Affinity Care Partners | Registered Nurse | 1811 Sardis Rd N, Charlotte, NC 28270-1426 | 2020-09-12 |
1053937896 | Gretchen Elaine Lawson | Registered Nurse | 3141 Amity Ct Ste 100, Charlotte, NC 28215-5745 | 2020-06-17 |
1295378883 | Ijeoma Enweana | Registered Nurse | 2015 Ayrsley Town Blvd Ste 202, Charlotte, NC 28273-4068 | 2019-10-25 |
1922514934 | Kimberly Kathleen Diehl | Registered Nurse | 2770 E Wt Harris Blvd, Charlotte, NC 28213-4096 | 2017-12-28 |
1518208222 | Adonai Victory Health Services | Registered Nurse | 8320 University Exec Park Dr, Suite 108, Charlotte, NC 28262-1338 | 2013-03-05 |
1063537546 | Carolina Angels Home Care Inc | Registered Nurse | 756 Tyvola Rd Ste 143, Charlotte, NC 28217-8217 | 2007-03-21 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.