Active NPI
Reconciliation & Restoration
- Exclusive Provider Organization
- Grimesland, NC
National Provider Identifier
1790089977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- Legal business name
- RECONCILIATION & RESTORATION
- Practice address
- 518 Rachel LN
Grimesland, NC 27837-9246 - Phone
- (252) 402-9375
- NPI assigned
- Jan 3, 2011
- 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
- Mrs. Tamur Kishon Taylor-Alexander, RN
- Title
- Ceo
- Phone
- (252) 402-9375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Primary |
Addresses
Primary practice location
518 Rachel LN
Grimesland, NC 27837-9246
Mailing address
518 Rachel LN
Grimesland, NC 27837-9246
Phone (252) 402-9375
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294012800000",
"number": "1790089977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 RACHEL LN",
"city": "GRIMESLAND",
"state": "NC",
"postal_code": "278379246",
"telephone_number": "252-402-9375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 RACHEL LN",
"city": "GRIMESLAND",
"state": "NC",
"postal_code": "278379246",
"telephone_number": "252-402-9375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECONCILIATION & RESTORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2011-01-03",
"status": "A",
"authorized_official_last_name": "TAYLOR-ALEXANDER",
"authorized_official_first_name": "TAMUR",
"authorized_official_middle_name": "KISHON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-402-9375",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "302F00000X",
"taxonomy_group": "",
"desc": "Exclusive Provider Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grimesland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.