Active NPI
Living Your Dream
- Community/Behavioral Health Agency
- Kinston, NC
National Provider Identifier
1528336054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIVING YOUR DREAM
- Practice address
- 664 Stratford Blvd
Kinston, NC 28504-9647 - Phone
- (252) 686-5192
- NPI assigned
- Dec 12, 2011
- 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
- Marquita Bell
- Title
- President
- Phone
- (252) 916-6892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
664 Stratford Blvd
Kinston, NC 28504-9647
Mailing address
PO Box 350
Greenville, NC 27835-0350
Other practice location 1
709 Plaza Blvd
Kinston, NC 28501-1515
Phone (252) 208-1423
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537142400000",
"number": "1528336054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 350",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278350350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 STRATFORD BLVD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285049647",
"telephone_number": "252-686-5192"
}
],
"practiceLocations": [
{
"address_1": "709 Plaza Blvd",
"address_purpose": "LOCATION",
"city": "Kinston",
"state": "NC",
"postal_code": "285011515",
"country_code": "US",
"telephone_number": "252-208-1423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIVING YOUR DREAM",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-12",
"last_updated": "2018-09-17",
"status": "A",
"authorized_official_last_name": "BELL",
"authorized_official_first_name": "MARQUITA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-916-6892"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.