NPIMap

Organization Active NPI

Pynk Dyamonds Boutique LLC

Doing business as Pynk Dyamonds Companion Sitting

  • Developmental Disabilities Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1447822242
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PYNK DYAMONDS BOUTIQUE LLC
Doing business as
Pynk Dyamonds Companion Sitting
Practice address
3548 Thornaby Cir
Winston Salem, NC 27107-5600
Phone
(336) 588-5943
Fax
(336) 293-6054
NPI assigned
Jul 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Stephanie Armstrong-Dessasau, ED
Title
Executive Director
Phone
(336) 588-5943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

3548 Thornaby Cir
Winston Salem, NC 27107-5600

Mailing address

3548 Thornaby Cir
Winston Salem, NC 27107-5600
Phone (336) 588-5943

Other names 1

  • Pynk Dyamonds Companion Sitting Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pynkdyamondscopanionsitting.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Pynk Dyamonds Boutique LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1447822242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3548 THORNABY CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271075600",
            "telephone_number": "336-588-5943",
            "fax_number": "336-293-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 THORNABY CIR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271075600",
            "telephone_number": "336-588-5943",
            "fax_number": "336-293-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYNK DYAMONDS BOUTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG-DESSASAU",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-588-5943",
        "authorized_official_credential": "ED"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pynkdyamondscopanionsitting.com",
            "affiliation": "N",
            "endpointDescription": "Pynk Dyamonds Companion Sitting",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pynkdyamondscompanionsitting@gmail.com",
            "address_1": "3548 Thornaby Cir",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271075600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pynk Dyamonds Companion Sitting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 13, 2021; 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.