NPIMap

Organization Active NPI

Fonseca Family Services

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1306960414
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
19067 Issued in NC
Legal business name
FONSECA FAMILY SERVICES
Practice address
10 Tennyson PL
Durham, NC 27704-3043
Phone
(919) 220-0500
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gernisha Allana Fonseca
Title
Ceo
Phone
(919) 220-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 19067 NC Primary

Addresses

Primary practice location

10 Tennyson PL
Durham, NC 27704-3043

Mailing address

10 Tennyson PL
Durham, NC 27704-3043
Phone (919) 220-0500

National Provider Directory

National Provider Directory
Tax ID family
Fonseca Family Services3 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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306960414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TENNYSON PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043043",
            "telephone_number": "919-220-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TENNYSON PL",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043043",
            "telephone_number": "919-220-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FONSECA FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "GERNISHA",
        "authorized_official_middle_name": "ALLANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-220-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "19067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.