Active NPI
Maimouna Diop, PMHNP - BC
- Psychiatric/Mental Health Nurse Practitioner
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5011260
- Practice address
- 4102 Ben Franklin Blvd
Durham, NC 27704-2140 - Phone
- (919) 972-7700
- Fax
- (877) 256-8588
- NPI assigned
- Nov 29, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5011260 | NC | Primary |
Addresses
Primary practice location
4102 Ben Franklin Blvd
Durham, NC 27704-2140
Mailing address
1502 W NC Highway 54
Ste 103
Durham, NC 27707-5572
Phone (919) 354-0840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011260 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Carolina Behavioral Care, PA | Current | Accepting new patients | |
| The Moses H Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Monarch | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc | Current | Accepting new patients | |
| Alamance Regional Medical Center, Inc. | Current | Accepting new patients | |
| Holly Hill Hospital LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Monarch | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| The Moses H. Cone Memorial Hospital Operating Corporation | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients |
Locations
2701 N 16th St
Ste 316
Phoenix, AZ 85006
350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
309 Crutchfield St
Durham, NC 27704
Phone (919) 560-7305
1724 Roxie Ave
Fayetteville, NC 28304
Phone (910) 484-1212
509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970
700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600
820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071
107 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 250-1260
319 Chapanoke Rd
Ste 120
Raleigh, NC 27603
Phone (919) 322-5911
3019 Falstaff Rd
Raleigh, NC 27610
Phone (919) 250-7000
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Burlington, NC
- NPI 1326010273
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1801116405
-
- Community/Behavioral Health Agency
- Durham, NC
- NPI 1700257664
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1013265909
-
- Pharmacy
- Burlington, NC
- NPI 1851681993
-
- Psychiatry Physician
- Hillsborough, NC
- NPI 1487709861
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1801451216
-
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1902776107
-
- Community/Retail Pharmacy
- Eden, NC
- NPI 1861222507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1104396456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 W NC HIGHWAY 54",
"address_2": "STE 103",
"city": "DURHAM",
"state": "NC",
"postal_code": "277075572",
"telephone_number": "919-354-0840",
"fax_number": "919-748-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 BEN FRANKLIN BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042140",
"telephone_number": "919-972-7700",
"fax_number": "877-256-8588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIOP",
"first_name": "MAIMOUNA",
"credential": "PMHNP - BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-29",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5011260",
"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 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.