MEDICARE: FELICIA WHITAKER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	174200000X	Meals Provider
2	251E00000X	Home Health Agency
3	332U00000X	Home Delivered Meals
4	374U00000X	Home Health Aide	NC

General Provider Information

NPI Number	:	1689544785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELICIA WHITAKER

Provider Business Mailing Address
First Line	:	5701 FOREST POINT RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-6053
Country	:	US
Telephone Number	:	919-576-9175
Fax Number	:	855-515-4106

Provider Business Practice Location Address
First Line	:	2421 TIMBER DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-2248
Country	:	US
Telephone Number	:	919-576-9175
Fax Number	:	855-515-4106

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	03/03/2026

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Directions to “ FELICIA WHITAKER ” Practice Location

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