Individual provider Active NPI

Maimouna Diop, PMHNP - BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1104396456
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5011260 Issued in NC
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

Updated by the provider on Apr 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211003091 NC Practitioner - Nurse Practitioner 2062750318 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5011260NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc CurrentSince Apr 29, 2025 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 CurrentSince Feb 3, 2025 Accepting new patients
Monarch CurrentSince Aug 18, 2020 Accepting new patients
Monarch CurrentSince Aug 18, 2020 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Holly Hill Hospital LLC Psychiatric/Mental Health CurrentSince Jan 20, 2024 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 CurrentSince Feb 3, 2025 Accepting new patients
Recovery Innovations, Inc CurrentSince Apr 29, 2025 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.

View all 13

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

Verify at the official NPI Registry.