Diagnostic Sleep and Respiratory Center LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

License

9504 Issued in VA

Legal business name

DIAGNOSTIC SLEEP AND RESPIRATORY CENTER LLC

Doing business as

Diagnostic Sleep

Practice address

282 E 4TH St
Benson, AZ 85602-6612

Phone

(520) 586-4729

Fax

(520) 423-3977

NPI assigned

Sep 27, 2007

Last updated

Mar 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dena Marie Hackworth-Stockett, CRT,RPSGT

Title

Owner/ Clinical Director

Phone

(520) 586-4729

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diagnostic Sleep Doing business as

Locations

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1255528741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 E 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026612",
            "telephone_number": "520-586-4729",
            "fax_number": "520-423-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 E 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026612",
            "telephone_number": "520-586-4729",
            "fax_number": "520-423-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC SLEEP AND RESPIRATORY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "HACKWORTH-STOCKETT",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "520-586-4729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRT,RPSGT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "VA",
            "license": "9504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283007",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Sleep",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Curry, PH.D.,
• Shae T Curtis
• Nancy Darwin, SLPA
• Maranda Davis
• Gybrielle Demaree, LPC
• Cheri Dillion, LAC
• Josephine Anne Ellsworth, MA, LPC
• David Owen Fetter
• Georgina L Fiscus, MSW, LCSW
• Freedom Counseling LLC

• Sleep Disorder Diagnostic Clinic/Center in Benson, AZ
• Providers in Benson, AZ by specialty
• Sleep Disorder Diagnostic Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.