Active NPI
Alpha Diabetes Center LLC
Doing business as Alpha Diabetes Center
- Diabetes Educator Registered Nurse
- Plant City, FL
National Provider Identifier
1881347979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- 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, 2022
- 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
- Gwendolyn James, MSN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | Primary | ||
| Health Educator | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Plant City, FL
- NPI 1528508611
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.