Provider Demographics
NPI: | 1841425303 |
---|---|
Name: | HANKINS, DORIAS C (CRT, RCP) |
Entity Type: | Individual |
Prefix: | MS |
First Name: | DORIAS |
Middle Name: | C |
Last Name: | HANKINS |
Suffix: | |
Gender: | F |
Credentials: | CRT, RCP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 413 DUNMORE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | FAYETTEVILLE |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28303-2613 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 910-709-0332 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 413 DUNMORE RD |
Practice Address - Street 2: | |
Practice Address - City: | FAYETTEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28303-2613 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-709-0332 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2009-05-27 |
Last Update Date: | 2024-02-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | A-2114 | 2278C0205X, 2278E1000X, 2278G0305X, 2278H0200X, 2278P1005X, 2278P3900X, 2278S1500X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care |
No | 2278C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Critical Care |
No | 2278E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Educational |
No | 2278G0305X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Geriatric Care |
No | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
No | 2278P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Pulmonary Rehabilitation |
No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 202117898 | Other | TRICARE |
NC | 7492704 | Medicaid |