Active NPI
Diverse Family Services
- Exclusive Provider Organization
- Durham, NC
National Provider Identifier
1063690246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 302E00000X
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1780985523
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
- Discover Therapy and Wellness, PLLC
- Discover You, LLC
- Discovering Your Journey, PLLC
- Kyle Ditzian, BCBA
- Diverse Acceptance, Inc
- Diverse Family Services
- Diversified Multicultural Healthcare Research Services, Inc.
- Diversified Multicultural Healthcare Research Services, Inc.
- Divine Behavioral Health Solutions L.L.C.
- Divine Connection of Durham, LLC
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.