Active NPI
Nursing Diagnostics LLC
- Rural Health Clinic/Center
- Warner Robins, GA
National Provider Identifier
1225721335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- NURSING DIAGNOSTICS LLC
- Practice address
- 108 Olympia Dr Ste 102a
Warner Robins, GA 31093-3673 - Phone
- (478) 226-7578
- Fax
- (478) 845-5258
- NPI assigned
- Jun 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol J. Drake, RN,MSN,APRN
- Title
- Chief Executive Nursing Officer
- Phone
- (478) 226-7578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
108 Olympia Dr Ste 102a
Warner Robins, GA 31093-3673
Mailing address
108 Olympia Dr Ste 102a
Warner Robins, GA 31093-3673
Phone (478) 226-7578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003311580 | Other | GA | NPPES |
National Provider Directory
National Provider DirectoryLocations
108 Olympia Dr
Ste 102A
Warner Robins, GA 31093
Phone (478) 226-7578
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Warner Robins, GA
- NPI 1003305137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685664000000",
"number": "1225721335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OLYMPIA DR STE 102A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933673",
"telephone_number": "478-226-7578",
"fax_number": "478-845-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLYMPIA DR STE 102A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310933673",
"telephone_number": "478-226-7578",
"fax_number": "478-845-5258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NURSING DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CHIEF EXECUTIVE NURSING OFFICER",
"authorized_official_telephone_number": "478-226-7578",
"authorized_official_credential": "RN,MSN,APRN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1003311580",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.