MRS. KERA TAHMARA DIGGS BROWN SOLE PROPRIETOR NPI 1609420629

NPI Information

NPI: 1609420629
Provider Name: MRS. KERA TAHMARA DIGGS BROWN, SOLE PROPRIETOR
Classification: Registered Nurse - 163WH0200X
Entity Type: Individual

Specialization: Home Health

Address:
4724 GRASSET AVE
CHARLOTTE, NC
ZIP 28269
Phone: (980) 875-8693
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MRS. Kera Tahmara Diggs Brown, SOLE PROPRIETOR is a home health registered nurse in Charlotte, NC. MRS. Kera Tahmara Diggs Brown, SOLE PROPRIETOR NPI is 1609420629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4724 GRASSET AVE
CHARLOTTE, NC
ZIP 28269-025
Phone: (980) 875-8693

The enumeration date for this NPI number is 7/29/2019 and was last updated on 4/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WH0200X	Registered Nurse	Home Health	HC5105	NORTH CAROLINA	Yes
2	385H00000X	Respite Care		HC5105	NORTH CAROLINA	No
3	172V00000X	Community Health Worker		HC5105	NORTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3892146	OTHER	NORTH CAROLINA	DIVERS LICENSE
2	HC5105	OTHER		BUSINESS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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