Dezaray C Purnell, CRANIAL PROSTHESIS

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

1201143615 Issued in VA

Practice address

3089 Hull St
Richmond, VA 23224-3575

Phone

(804) 269-0168

NPI assigned

Feb 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond Venom Artistry LLC

  • Customized Equipment (DME)
  • Richmond, VA
  • NPI 1023780558
  NPD Authorized official

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1639825771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243575",
            "telephone_number": "804-690-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243575",
            "telephone_number": "804-269-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURNELL",
        "first_name": "DEZARAY",
        "middle_name": "C",
        "credential": "CRANIAL PROSTHESIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "VA",
            "license": "1201143615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Purdy, LCSW
• Polly Annette Purgason, M.D.
• Puneet Puri, MD, MBBS
• Julie Purisima, WHNP
• Ashley Purnell, LCSW
• Kinesics C Purnell
• Dale Purrington, MSN, RN, PNP-AC
• Eris N Pursley, MSW, LCSW
• Pursue Youth and Family Services
• Daniel Purtell, FNP

• Prosthetics Case Management in Richmond, VA
• Providers in Richmond, VA by specialty
• Prosthetics Case Management in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.