NPIMap

Organization Active NPI

Deanna Jow Williamson

  • Durable Medical Equipment & Medical Supplies
  • New Bern, NC
National Provider Identifier
1104155639
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEANNA JOW WILLIAMSON
Practice address
727 Professional Dr
New Bern, NC 28560-4547
Phone
(252) 635-9822
NPI assigned
Dec 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Deanna Jo Williamson
Title
Owner
Phone
(336) 345-0678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NC Primary

Addresses

Primary practice location

727 Professional Dr
New Bern, NC 28560-4547

Mailing address

PO Box 1712
Kernersville, NC 27285-1712

Other identifiers 1

IdentifierTypeStateIssuer
7704202MedicaidNC

Other names 1

  • Regional Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deanna Jo Williamson4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1104155639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1712",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272851712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 PROFESSIONAL DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604547",
            "telephone_number": "252-635-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANNA JOW WILLIAMSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-345-0678"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704202",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.