Active NPI
Yaniasia Enjoli Dawn Royal
- School Social Worker
- Pembroke, NC
National Provider Identifier
1104649664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 8910 Deep Branch Rd
Pembroke, NC 28372-7999 - Phone
- (910) 671-6000
- NPI assigned
- Nov 4, 2024
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
8910 Deep Branch Rd
Pembroke, NC 28372-7999
Mailing address
800 Bluebill Dr Apt 301
Pembroke, NC 28372-4808
Phone (910) 778-4106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1104649664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BLUEBILL DR APT 301",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283724808",
"telephone_number": "910-778-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8910 DEEP BRANCH RD",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727999",
"telephone_number": "910-671-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "YANIASIA",
"middle_name": "ENJOLI DAWN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.