Diversified Choice

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVERSIFIED CHOICE

Practice address

5032 Hutchins St
Winston Salem, NC 27106-2353

Phone

(336) 923-2817

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey A Barbour

Title

Director of Operations

Phone

(336) 926-9032

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1114058104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 HUTCHINS ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062353",
            "telephone_number": "336-923-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 HUTCHINS ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062353",
            "telephone_number": "336-923-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED CHOICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "BARBOUR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "336-926-9032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409483",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Disability Advocacy and Information Services, Inc.
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• Disablity Advocacy and Information Service, Inc.
• Distinct Clinicians Incorporated
• Allyson Nicole Distler, DO
• Divinity Health & Wellness PLLC
• Divinity Homecare LLC
• Divinity Wellness Center PLLC
• Brianna Renee Dix, M.D.
• Aarti Dixit, M.D.

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.