Organization Active NPI

Virgin Islands Diabetes Center of Excellence Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Christiansted, VI
National Provider Identifier
1649975970
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
VIRGIN ISLANDS DIABETES CENTER OF EXCELLENCE INC
Practice address
4040 Estate la Grande Princesse Ste 2
Christiansted, VI 00820-5166
Phone
(340) 208-0260
NPI assigned
Apr 4, 2023
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Julia Sheen, DRPH
Title
Executive Director
Phone
(410) 419-3793

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary
Community Health Nurse Practitioner 363LC1500X NU

Addresses

Primary practice location

4040 Estate la Grande Princesse Ste 2
Christiansted, VI 00820-5166

Mailing address

4040 Estate la Grande Princesse Ste 2
Christiansted, VI 00820-5166
Phone (340) 208-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231019002192 VI Part B Supplier - Clinic/Group Practice 4183070618 Receives reassigned benefits from 9 practitioners
Practice locations: Christiansted, VI

National Provider Directory

National Provider Directory

Locations

4040 Estate La Grande Princesse
Ste 3
Christiansted, VI 00820
Phone (340) 208-0260

4100 Sion Farm Shopp Ctr
Ste 1
Christiansted, VI 00820
Phone (340) 718-3263

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1649975970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESSE STE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205166",
            "telephone_number": "340-208-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESSE STE 2",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205166",
            "telephone_number": "340-208-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGIN ISLANDS DIABETES CENTER OF EXCELLENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "SHEEN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-419-3793",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.