Active NPI
Diversified Healthcare Solutions, PLLC
- Nurse Practitioner
- Pike Road, AL
National Provider Identifier
1780434050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DIVERSIFIED HEALTHCARE SOLUTIONS, PLLC
- Practice address
- 55 Boulder Dr
Pike Road, AL 36064-2868 - Phone
- (334) 294-7909
- NPI assigned
- Mar 26, 2024
- 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
- Elizabeth Kendall, CRNP
- Title
- Owner
- Phone
- (334) 294-7909
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
55 Boulder Dr
Pike Road, AL 36064-2868
Mailing address
55 Boulder Dr
Pike Road, AL 36064-2868
Phone (334) 294-7909
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Montgomery, AL
- NPI 1679979660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1780434050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 BOULDER DR",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360642868",
"telephone_number": "334-294-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 BOULDER DR",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360642868",
"telephone_number": "334-294-7909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVERSIFIED HEALTHCARE SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-26",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "KENDALL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "334-294-7909",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pike Road, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.