Organization Active NPI

Diverse Family Services

  • Exclusive Provider Organization
  • Durham, NC
National Provider Identifier
1063690246
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
302E00000X Issued in NC
Legal business name
DIVERSE FAMILY SERVICES
Practice address
3020 Pickett Rd
Suite 135
Durham, NC 27705-6000
Phone
(919) 544-5871
NPI assigned
Feb 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Ms. Kristin Millisent Jones, QP
Title
Co-Owner/Qualified Professional
Phone
(919) 544-5871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 302E00000X NC Primary

Addresses

Primary practice location

3020 Pickett Rd
Suite 135
Durham, NC 27705-6000

Mailing address

3020 Pickett Rd
Suite 135
Durham, NC 27705-6000
Phone (919) 544-5871

National Provider Directory

National Provider Directory
Tax ID family
Diverse Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1202515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1063690246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 PICKETT RD",
            "address_2": "SUITE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056000",
            "telephone_number": "919-544-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 PICKETT RD",
            "address_2": "SUITE 135",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056000",
            "telephone_number": "919-544-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSE FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "MILLISENT",
        "authorized_official_title_or_position": "CO-OWNER/QUALIFIED PROFESSIONAL",
        "authorized_official_telephone_number": "919-544-5871",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "302E00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.