Organization Active NPI

Strengthening the Black Family

Doing business as Project DIRECT ADA Recogniztion Program

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1518297233
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
STRENGTHENING THE BLACK FAMILY
Doing business as
Project DIRECT ADA Recogniztion Program
Practice address
568 E Lenoir St
Raleigh, NC 27601-2408
Phone
(919) 856-6540
Fax
(919) 856-6575
NPI assigned
Dec 31, 2009
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Mrs. Annette O Watson
Title
Executive Director
Phone
(919) 856-5405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

568 E Lenoir St
Raleigh, NC 27601-2408

Mailing address

PO Box 28716
Raleigh, NC 27611-8716
Phone (919) 856-6540

Other identifiers 1

IdentifierTypeStateIssuer
005626OtherNCAMERICAN DIABETES ASSOCIATION

Other names 1

  • Project DIRECT ADA Recogniztion Program Doing business as

National Provider Directory

National Provider Directory

Locations

568 E Lenoir St
Raleigh, NC 27601
Phone (919) 856-6540

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1518297233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28716",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276118716",
            "telephone_number": "919-856-6540",
            "fax_number": "919-856-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 E LENOIR ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276012408",
            "telephone_number": "919-856-6540",
            "fax_number": "919-856-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGTHENING THE BLACK FAMILY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-856-5405",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN DIABETES ASSOCIATION",
            "identifier": "005626",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Project DIRECT ADA Recogniztion Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.