Ivory Hologram

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

IVORY HOLOGRAM

Practice address

821 White Daisies CT
Raleigh, NC 27610-2255

Phone

(919) 610-5403

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Diana Njambi KamauNPI 1730951146

Title

Owner/Business Operator/Investor

Phone

(984) 383-7693

Specialties & licenses 4

Addresses

Practitioners 1

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

• Diana Kamau

  • Behavior Technician
  • Marlborough, MA
  • NPI 1730951146
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1023833654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 WHITE DAISIES CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WHITE DAISIES CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102255",
            "telephone_number": "919-610-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY HOLOGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "KAMAU",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "NJAMBI",
        "authorized_official_title_or_position": "OWNER/BUSINESS OPERATOR/INVESTOR",
        "authorized_official_telephone_number": "984-383-7693"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iter Evigilans PLLC
• Jennifer Ellen Ito, N.D.
• Sarah Itriago
• Daniela Todorova Ivanova, M.D.
• Ivel 7 Medical Transport LLC
• Iwe Family Psychology Inc
• Alexander Ndu Iwekuba, LPN
• Ceren Iz
• Ifeanyi Izuakor
• Lisa Susanna Izzi, LAT, ATC

• Specialist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.