Organization Active NPI

Different Skills 4 Different Mindsets Foundation Inc

  • Case Manager/Care Coordinator
  • Orlando, FL
National Provider Identifier
1548025299
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
DIFFERENT SKILLS 4 DIFFERENT MINDSETS FOUNDATION INC
Practice address
1849 Americana Blvd Apt 35K
Orlando, FL 32839-2225
Phone
(407) 432-7222
NPI assigned
Feb 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Ms. Krystal DericoNPI 1437807716
Title
President
Phone
(407) 432-7222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1849 Americana Blvd Apt 35K
Orlando, FL 32839-2225

Mailing address

988 Stucki Ter
Winter Garden, FL 34787-4237
Phone (407) 432-7222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1548025299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 STUCKI TER",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874237",
            "telephone_number": "407-432-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 AMERICANA BLVD APT 35K",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328392225",
            "telephone_number": "407-432-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFERENT SKILLS 4 DIFFERENT MINDSETS FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "DERICO",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-432-7222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.