Darjune Foundation, Inc.

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

DARJUNE FOUNDATION, INC.

Practice address

1018 Shawano Ave
Green Bay, WI 54303-3021

Phone

(920) 676-9697

NPI assigned

Mar 5, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Suthers

Title

Ceo

Phone

(920) 676-9697

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1114485562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S TANAGER LN",
            "city": "SUAMICO",
            "state": "WI",
            "postal_code": "543134003",
            "telephone_number": "920-676-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 SHAWANO AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033021",
            "telephone_number": "920-676-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARJUNE FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-05",
        "last_updated": "2024-06-27",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "SUTHERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-676-9697"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel G Koster MD SC
• Eric Danihel, PA-C
• John H. Danner III, M.D.
• Jane A Danowit, MD
• Elizabeth Dionne Dantoin, LPC
• M. Ziad Darkhabani, MD
• Matthew William Dary, DPT
• Jon Christopher Daubner, PA
• Kari Daugherty, PTA
• Barry T Daughtry, M.D.

• Prevention Professional in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Prevention Professional in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.