Active NPI
Illuminated Direction
- Health Maintenance Organization
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- ILLUMINATED DIRECTION
- Practice address
- 800 N Mangum St Ste 104
Durham, NC 27701-2260 - Phone
- (919) 450-6446
- Fax
- (888) 227-5443
- NPI assigned
- May 6, 2014
- 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
- Mr. Jonathan Dalandish Lacewell
- Title
- Owner
- Phone
- (919) 452-7931
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
800 N Mangum St Ste 104
Durham, NC 27701-2260
Mailing address
2628 Camellia Dr
Apt C
Durham, NC 27705-2054
Phone (919) 452-7931
National Provider Directory
National Provider Directory- Tax ID family
- Illuminated Direction
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Biloxi, MS
- NPI 1679184980
-
- Health Maintenance Organization
- Springfield, VA
- NPI 1780102335
Locations
800 N Mangum St
Ste 104
Durham, NC 27701
Phone (919) 450-6446
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Durham, NC
- NPI 1851712137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399334400000",
"number": "1609286145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 CAMELLIA DR",
"address_2": "APT C",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052054",
"telephone_number": "919-452-7931",
"fax_number": "888-227-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N MANGUM ST STE 104",
"city": "DURHAM",
"state": "NC",
"postal_code": "277012260",
"telephone_number": "919-450-6446",
"fax_number": "888-227-5443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMINATED DIRECTION",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-06",
"last_updated": "2014-05-06",
"status": "A",
"authorized_official_last_name": "LACEWELL",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "DALANDISH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-452-7931",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.