NPIMap

Organization Active NPI

Diversity Healthcare 'LLC'

  • Primary Care Nurse Practitioner
  • Winter Haven, FL
National Provider Identifier
1780524512
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
DIVERSITY HEALTHCARE 'LLC'
Practice address
435 2ND St NE
Winter Haven, FL 33881-4103
Phone
(863) 419-4422
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Clayton Dale Reedy, MSN, APRN-CNPI 1558765479
Title
Owner/Provider
Phone
(937) 307-7891

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

435 2ND St NE
Winter Haven, FL 33881-4103

Mailing address

435 2ND St NE
Winter Haven, FL 33881-4103
Phone (863) 419-4422

National Provider Directory

National Provider Directory
Tax ID family
Diversity Healthcare LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1780524512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 2ND ST NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814103",
            "telephone_number": "863-419-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 2ND ST NE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814103",
            "telephone_number": "863-419-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSITY HEALTHCARE 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "REEDY",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "937-307-7891",
        "authorized_official_credential": "MSN, APRN-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.