Individual provider Active NPI

Dana Morrison

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Winston Salem, NC
National Provider Identifier
1356646384
Registry record updated Jan 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-034-274 Issued in NC
Practice address
2706 Thomasville Rd
Winston Salem, NC 27107-3353
Phone
(336) 587-8287
NPI assigned
Jan 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-034-274 NC Primary

Addresses

Primary practice location

2706 Thomasville Rd
Winston Salem, NC 27107-3353

Mailing address

3720 Field Sedge Dr
Winston Salem, NC 27107-1848
Phone (336) 771-7263

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

State licenses

LicenseStateTypeSpecialty
MHL-034-274NCMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

NPI Registry JSON

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

{
    "created_epoch": "1295740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295740800000",
    "number": "1356646384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 FIELD SEDGE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271071848",
            "telephone_number": "336-771-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 THOMASVILLE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073353",
            "telephone_number": "336-587-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "DANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-23",
        "last_updated": "2011-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-034-274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; 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.