Diadem Doyenne, LLC

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

DIADEM DOYENNE, LLC

Practice address

6515 Portsmouth Blvd
Portsmouth, VA 23701

Phone

(757) 977-6491

NPI assigned

Sep 15, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Jimeka L Fitzgerald

Title

Ceo

Phone

(757) 977-6491

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063931558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3707",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237010707",
            "telephone_number": "757-977-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23701",
            "telephone_number": "757-977-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIADEM DOYENNE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "JIMEKA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-977-6491",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin James De Guzman Devera, DO
• Devoted Hands Healthcare, LLC
• Andrea Dewitz, IDC
• Dfas-CL/JFLP
• Dfas-CL/JFLP
• Emily Gloria Diana
• Syvlia Diaz-Bowman
• Richard Michael Dibella, DMD
• Angela Marie Dicarlomeacham
• Florencio Abalos Dictado III, M.D.

• Prosthetics Case Management in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Prosthetics Case Management in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.