Active NPI
Donna Daughtry Royal, RN
- Diabetes Educator Registered Nurse
- Clinton, NC
National Provider Identifier
1275769689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 201425
- Practice address
- 360 County Complex Rd
Suite 200
Clinton, NC 28328-4778 - Phone
- (910) 592-1131
- Fax
- (910) 592-1901
- NPI assigned
- Jun 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 201425 | NC | Primary |
Addresses
Primary practice location
360 County Complex Rd
Suite 200
Clinton, NC 28328-4778
Mailing address
360 County Complex Rd
Suite 200
Clinton, NC 28328-4778
Phone (910) 592-1131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3404382 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201425 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1275769689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 COUNTY COMPLEX RD",
"address_2": "SUITE 200",
"city": "CLINTON",
"state": "NC",
"postal_code": "283284778",
"telephone_number": "910-592-1131",
"fax_number": "910-592-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 COUNTY COMPLEX RD",
"address_2": "SUITE 200",
"city": "CLINTON",
"state": "NC",
"postal_code": "283284778",
"telephone_number": "910-592-1131",
"fax_number": "910-592-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "DONNA",
"middle_name": "DAUGHTRY",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NC",
"license": "201425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3404382",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.