Demetricia D. Weathersby Foundation LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

DEMETRICIA D. WEATHERSBY FOUNDATION LLC

Practice address

8455 Grace St Apt 1009
Frisco, TX 75034-4146

Phone

(214) 815-5389

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Mario Alberty

Title

Ceo

Phone

(214) 815-5389

Specialties & licenses 5

Addresses

Other names 1

• DDW Foundation Doing business as

Locations

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1114797263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ERVAY ST UNIT 132220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753130219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 GRACE ST APT 1009",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344146",
            "telephone_number": "214-815-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMETRICIA D. WEATHERSBY FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "ALBERTY",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-815-5389"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDW Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DDW Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Deleon, PT
• Peyton Deleon, LPC
• Elyse J. Deleski, LMFT
• Rachel Lisa Delossantos, DPT
• Desire Demange, M.ED., LPC
• Edin Demirov
• Alessandra Demoraes
• Dennis H. Goldsberry, M.D., PLLC
• Dennis Howard LPC
• Elizabeth Denson Ray, OTR

• Public Health or Welfare Agency in Frisco, TX
• Providers in Frisco, TX by specialty
• Public Health or Welfare Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.