JILLIAN KAY HITCHCOCK (NPI# 1306348354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306348354 |
Entity Type | Individual |
Full Name | JILLIAN KAY HITCHCOCK |
Credential | CPO |
Practice Address |
3410 Executive Dr Ste 203 Raleigh NC 27609-7400 |
Mailing Address |
3280 Lynn Ridge Dr Apt 2f Raleigh NC 27613-8920 |
Practice Telephone | 9198035869 |
Practice Fax Number | 8886356138 |
Mailing Telephone | 5854890829 |
Enumeration Date | 2018-03-06 |
Last Update Date | 2018-03-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3410 EXECUTIVE DR STE 203 |
City | RALEIGH |
State | NC |
Zip Code | 27609-7400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336586080 | Charles Steven Woolfe | Orthotist | 3410 Executive Dr Ste 203, Medical Office Building 1, Raleigh, NC 27609-7400 | 2013-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
Find all providers in zip 27609 |
Taxonomy Code | 224P00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Prosthetist |
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134764459 | Zachary Roggow | Prosthetist | 3400 Executive Dr Ste 102, Raleigh, NC 27609-7476 | 2019-11-11 |
1588299788 | Mark R Talley | Prosthetist | 3224 Lake Woodard Dr Ste 100, Raleigh, NC 27604-3659 | 2020-03-08 |
1144712654 | Mary Heaton | Prosthetist | 3031 New Bern Ave Ste 102, Raleigh, NC 27610-2989 | 2018-05-31 |
1508276775 | Shawn A Kirk | Prosthetist | 2231 E Millbrook Rd, 101, Raleigh, NC 27604-1746 | 2014-04-28 |
1053689042 | Catherine J Adkins | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2011-12-06 |
1700906922 | Joseph Lizotte | Prosthetist | 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609 | 2007-03-30 |
1023166881 | Eddie Vernon White | Prosthetist | 3224 Lake Woodard Dr, Suite 100, Raleigh, NC 27604-3659 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639782857 | Ashley Brooks | Prosthetist | 2232 Page Rd Ste 104, Durham, NC 27703-7724 | 2020-08-27 |
1689282865 | Marquetta L Thomas | Prosthetist | 2203 Southern Ave, Fayetteville, NC 28306-2257 | 2020-07-14 |
1053943381 | Ashley K Sorrell | Prosthetist | 24 Wood Lake Dr, Fuquay Varina, NC 27526-4936 | 2020-02-05 |
1356990022 | Porshai Juanice Jackson | Prosthetist | 6341 Derryfield Dr, Charlotte, NC 28213-5532 | 2019-09-05 |
1164079117 | Sherronda Yancey | Prosthetist | 513 Yadkin St, Henderson, NC 27536-3524 | 2019-08-23 |
1962058909 | Tishma Mcgarrell | Prosthetist | 102 N B Street, Bridgeton, NC 28519-2851 | 2019-08-15 |
1306400759 | Pure Gold Luxz Hair Beauty Luxury | Prosthetist | 508 Owen Dr, Fayetteville, NC 28304-3417 | 2019-04-30 |
1437712601 | Anitra Nash Phifer | Prosthetist | 2483 E Ozark Ave, Gastonia, NC 28054-1421 | 2019-04-15 |
1881257046 | Sonja Allen | Prosthetist | 3509 David Cox Rd, Charlotte, NC 28269-2281 | 2019-04-15 |
1346803509 | Felicia Nicole Long | Prosthetist | 221 E Exmore St Ste D, Charlotte, NC 28217-1808 | 2019-04-15 |
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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.