Organization Active NPI

Alpha Diabetes Center LLC

Doing business as Alpha Diabetes Center

  • Diabetes Educator Registered Nurse
  • Plant City, FL
National Provider Identifier
1881347979
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
Legal business name
ALPHA DIABETES CENTER LLC
Doing business as
Alpha Diabetes Center
Practice address
5213 Keene Dr
Plant City, FL 33566-9798
Phone
(813) 441-2222
Fax
(813) 441-8467
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Gwendolyn James, MSNNPI 1528508611
Title
Owner
Phone
(813) 441-4222

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)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WD0400X Primary
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X

Addresses

Primary practice location

5213 Keene Dr
Plant City, FL 33566-9798

Mailing address

302 S Collins St # 198
Plant City, FL 33563-5534
Phone (813) 441-4222

Other names 1

  • Alpha Diabetes Center Doing business as

National Provider Directory

National Provider Directory

Locations

302 S Collins St
#198
Plant City, FL 33563

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1881347979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S COLLINS ST # 198",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335635534",
            "telephone_number": "813-441-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 KEENE DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669798",
            "telephone_number": "813-441-2222",
            "fax_number": "813-441-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DIABETES CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-441-4222",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Diabetes Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

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