Diversity Healthcare 'LLC'

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DIVERSITY HEALTHCARE 'LLC'

Doing business as

Diversity Healthcare

Practice address

1011 E Main St
Haines City, FL 33844-4239

Phone

(863) 419-4422

Fax

(833) 795-1975

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Clayton Dale Reedy, MSN, APRN-CNPI 1558765479

Title

Owner/Provider

Phone

(863) 419-4422

Specialties & licenses 2

Addresses

Other names 1

• Diversity Healthcare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Diversity Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Diversity Healthcare 'LLC'

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1730018730
  NPD tax ID
• Diversity Healthcare 'LLC'

  • Primary Care Nurse Practitioner
  • Winter Haven, FL
  • NPI 1780524512
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27136/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Dale Reedy, N.P.-C

  • Adult Health Nurse Practitioner
  • Winter Haven, FL
  • NPI 1558765479
  Medicare reassignment Authorized official
• Cynthia Ann Klee, LMHC CRT ATC

  • Counselor
  • Haines City, FL
  • NPI 1396901237
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1144907429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E MAIN ST",
            "city": "HAINES",
            "state": "FL",
            "postal_code": "33844",
            "telephone_number": "863-419-4422",
            "fax_number": "833-795-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E MAIN ST",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444239",
            "telephone_number": "863-419-4422",
            "fax_number": "833-795-1975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 2nd St NE",
            "address_purpose": "LOCATION",
            "city": "Winter Haven",
            "state": "FL",
            "postal_code": "338814103",
            "country_code": "US",
            "telephone_number": "863-419-4422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVERSITY HEALTHCARE 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "863-419-4422",
        "authorized_official_credential": "MSN, APRN-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversity Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lucie Delva, LPN
• Aakash Desai
• Emily Desalvo, PT
• Karen Ann Desiano
• Aida Amenda Diaz
• Lorena Dominguez, RBT
• Jennifer Dos Santos
• Dove Medical Clinic LLC
• Nicole Latrese Downing
• Tarvares Jermiane Downing

• Primary Care Clinic/Center in Haines City, FL
• Providers in Haines City, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.