Active NPI
Virgin Islands Diabetes Center of Excellence Inc
- Endocrinology, Diabetes & Metabolism Physician
- Christiansted, VI
National Provider Identifier
1649975970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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, 2023
- 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
- Julia Sheen, DRPH
- Title
- Executive Director
- Phone
- (410) 419-3793
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Dietitian
- Frederiksted, VI
- NPI 1487289419
Dietitian, Registered
-
- Family Nurse Practitioner
- Christiansted, VI
- NPI 1275826547
-
- Physician Assistant
- Christiansted, VI
- NPI 1699171041
-
- Emergency Medicine Physician
- Christiansted, VI
- NPI 1619931276
-
- Family Nurse Practitioner
- Christiansted, VI
- NPI 1760835730
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
- Justice Veira
- VI Pathology LLC
- VI Practice Management Consulting Services LLC (Family Wellness and Health Center)
- VI Surgicore LLC
- Madel Villegas, MD
- Virgin Islands Healthcare Foundation, Inc. (Virgin Island Healthcare Foundation (VIHCF) Renal Center)
- Virgin Islands Healthcare Foundation, Inc. (VIHCF Clinic)
- Virgin Islands IV (Virgin Islands IV, Inc.)
- Virgin Islands Pediatric Specialties, LLC
- Virx LLC (Golden Rock Rx)
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.