Organization Active NPI

The Foundry

  • Peer Specialist
  • Matthews, NC
National Provider Identifier
1417865684
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
THE FOUNDRY
Practice address
10809 Parrish St Apt 215
Matthews, NC 28105-8939
Phone
(267) 721-0926
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Ms. Dianne F Thomas, ADEBONOJO
Title
Foundry
Phone
(267) 721-0926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

10809 Parrish St Apt 215
Matthews, NC 28105-8939

Mailing address

2217 Matthews Township Pkwy Ste D
Matthews, NC 28105-4819
Phone (267) 721-0926

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1417865684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 MATTHEWS TOWNSHIP PKWY STE D",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054819",
            "telephone_number": "267-721-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 PARRISH ST APT 215",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058939",
            "telephone_number": "267-721-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FOUNDRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "FOUNDRY",
        "authorized_official_telephone_number": "267-721-0926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADEBONOJO"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.