JILLIAN KAY HITCHCOCK


Address: 3410 Executive Dr Ste 203, Raleigh, NC 27609-7400
Phone: 9198035869

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3410 EXECUTIVE DR STE 203
City RALEIGH
State NC
Zip Code 27609-7400

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

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City RALEIGH
Zip Code 27609

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Dataset Information

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.

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