NPIMap

Organization Active NPI

Managing Overwhelming Moments, LLC

  • Behavior Analyst
  • Winston Salem, NC
National Provider Identifier
1003455205
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
MANAGING OVERWHELMING MOMENTS, LLC
Practice address
1119 Stafford Place Cir Apt 103
Winston Salem, NC 27127-6886
Phone
(919) 218-6286
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristin N BlowNPI 1548779101
Title
Bcba
Phone
(336) 448-4054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

1119 Stafford Place Cir Apt 103
Winston Salem, NC 27127-6886

Mailing address

1119 Stafford Place Cir Apt 103
Winston Salem, NC 27127-6886
Phone (919) 218-6286

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1003455205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 STAFFORD PLACE CIR APT 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276886",
            "telephone_number": "919-218-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 STAFFORD PLACE CIR APT 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271276886",
            "telephone_number": "919-218-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGING OVERWHELMING MOMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "BLOW",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "336-448-4054"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.