Seirra Diamond Roundtree

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

4920 Eucalyptus Dr Unit 2
Hollywood, FL 33021-7097

Phone

(786) 661-7582

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seirra@diamondsmilezcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond Smilez Care

  • Developmentally Disabled Services Day Training Agency
  • Hollywood, FL
  • NPI 1295472868

  Day Training, Developmentally Disabled Services

  NPD Authorized official

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1861138430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HOLLYWOOD BLVD STE 415",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216911",
            "telephone_number": "800-617-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 EUCALYPTUS DR UNIT 2",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217097",
            "telephone_number": "786-661-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDTREE",
        "first_name": "SEIRRA",
        "middle_name": "DIAMOND",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10066768Z",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SEIRRA@DIAMONDSMILEZCARE.ORG",
            "affiliation": "N",
            "endpointDescription": "BUSINESS EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BUSINESS EMAIL",
            "address_1": "4920 Eucalyptus Dr Unit 2",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330217097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.