Organization Active NPI

Susan Daveiro-Community Servcies for Kids

  • Early Intervention Provider Agency
  • Elizabeth City, NC
National Provider Identifier
1750510822
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SUSAN DAVEIRO-COMMUNITY SERVCIES FOR KIDS
Practice address
104 Gaston Dr
Elizabeth City, NC 27909-9460
Phone
(252) 330-1318
Fax
(252) 330-1318
NPI assigned
Jul 9, 2009
Last updated
Jul 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mrs. Susan W DaveiroNPI 1093951527
Title
Owner
Phone
(252) 330-1318

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)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

104 Gaston Dr
Elizabeth City, NC 27909-9460

Mailing address

104 Gaston Dr
Elizabeth City, NC 27909-9460
Phone (252) 330-1318

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1750510822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GASTON DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099460",
            "telephone_number": "252-330-1318",
            "fax_number": "252-330-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GASTON DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099460",
            "telephone_number": "252-330-1318",
            "fax_number": "252-330-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN DAVEIRO-COMMUNITY SERVCIES FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "DAVEIRO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-330-1318",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.