Active NPI
The Foundry
- Peer Specialist
- Matthews, NC
National Provider Identifier
1417865684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 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.