Organization Active NPI

Ariadyne Health

  • Clinical Social Worker
  • Brandon, MS
National Provider Identifier
1699088179
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C7458 Issued in AL
Legal business name
ARIADYNE HEALTH
Practice address
46 Sandlewood Dr
Brandon, MS 39042-2323
Phone
(601) 672-3611
NPI assigned
Jul 26, 2010
Last updated
Oct 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Mr. Robert W Sims
Title
Ceo
Phone
(601) 672-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C7458 AL Primary

Addresses

Primary practice location

46 Sandlewood Dr
Brandon, MS 39042-2323

Mailing address

PO Box 2145
Brandon, MS 39043-2145
Phone (601) 672-3611

National Provider Directory

National Provider Directory

Locations

4980 N Wickham Rd
Ste A
Melbourne, FL 32940
Phone (601) 605-4393

Practitioners & affiliated clinicians

Practitioners 2

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1699088179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2145",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390432145",
            "telephone_number": "601-672-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SANDLEWOOD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422323",
            "telephone_number": "601-672-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIADYNE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-672-3611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "C7458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.