Active NPI
Nursing Diagnostics LLC
- Registered Nurse
- Warner Robins, GA
National Provider Identifier
1003311580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN105510
- Legal business name
- NURSING DIAGNOSTICS LLC
- Practice address
- 312 N Davis Dr
#100
Warner Robins, GA 31093 - Phone
- (478) 328-7975
- NPI assigned
- Mar 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Carol Jean Drake, MSN, RN, CCM
- Title
- Ceo - Manager
- Phone
- (478) 442-3156
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN105510 | GA | Primary |
| Neuroscience Registered Nurse | 163WN0800X | RN105510 | GA | |
| Rural Health Clinic/Center | 261QR1300X | RN105510 | GA | |
| VA Clinic/Center | 261QV0200X | RN105510 | GA |
Addresses
Primary practice location
312 N Davis Dr
#100
Warner Robins, GA 31093
Mailing address
404 Laurie Lane
Warner Robins, GA 31088
Phone (478) 442-3156
National Provider Directory
National Provider DirectoryLocations
312 N Davis Dr
#100
Warner Robins, GA 31093
Phone (478) 328-7975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522108800000",
"number": "1003311580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 LAURIE LANE",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31088",
"telephone_number": "478-442-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 N DAVIS DR",
"address_2": "#100",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "31093",
"telephone_number": "478-328-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSING DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-27",
"last_updated": "2018-03-27",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "CEO - MANAGER",
"authorized_official_telephone_number": "478-442-3156",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSN, RN, CCM"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN105510",
"primary": true
},
{
"code": "163WN0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Neuroscience",
"state": "GA",
"license": "RN105510",
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "GA",
"license": "RN105510",
"primary": false
},
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": "GA",
"license": "RN105510",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.