Destin Pathways, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

DESTIN PATHWAYS, LLC

Practice address

5283 Windsor Blvd
Zuni, VA 23898

Phone

(757) 242-4059

NPI assigned

Jun 28, 2017

Last updated

Jun 28, 2017By 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

Shonda Latrese TownsendNPI 1245751429

Title

Executive Director

Phone

(757) 676-5451

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shonda Latrese Townsend

  • Intellectual & Developmental Disabilities Psychologist
  • Zuni, VA
  • NPI 1245751429
  NPD (past) Authorized official

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498608000000",
    "number": "1306367594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20623 THOMAS WOODS TRL",
            "city": "ZUNI",
            "state": "VA",
            "postal_code": "238982303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5283 WINDSOR BLVD",
            "city": "ZUNI",
            "state": "VA",
            "postal_code": "23898",
            "telephone_number": "757-242-4059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTIN PATHWAYS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_middle_name": "LATRESE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-676-5451"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2689",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborrah Caroline Cisneros, HEALTH&WELLNESSCOACH
• Barbara Eley
• Evangeline Eley
• Shonda Latrese Townsend
• Western Tidewater Community Services Board (The Neighbour's Place ICF/IID)

• Developmentally Disabled Services Day Training Agency in Zuni, VA
• Providers in Zuni, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.