Organization Active NPI

Dianne C. Wood Bcba

  • Community/Behavioral Health Agency
  • Hudson, FL
National Provider Identifier
1457753501
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIANNE C. WOOD BCBA
Practice address
5915 Sea Ranch Dr
Unit 907
Hudson, FL 34667-4557
Phone
(727) 267-8076
Fax
(866) 420-1763
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Ms. Dianne C. Wood
Title
Owner
Phone
(727) 267-8076

Specialties & licenses 1

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

Addresses

Primary practice location

5915 Sea Ranch Dr
Unit 907
Hudson, FL 34667-4557

Mailing address

5915 Sea Ranch Dr
Unit 907
Hudson, FL 34667-4557
Phone (727) 267-8076

Other identifiers 1

IdentifierTypeStateIssuer
002558100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1457753501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5915 SEA RANCH DR",
            "address_2": "UNIT 907",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346674557",
            "telephone_number": "727-267-8076",
            "fax_number": "866-420-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 SEA RANCH DR",
            "address_2": "UNIT 907",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346674557",
            "telephone_number": "727-267-8076",
            "fax_number": "866-420-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE C. WOOD BCBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-267-8076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002558100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.