Organization Active NPI

The Diversity Initiative

  • Voluntary or Charitable Agency
  • Tampa, FL
National Provider Identifier
1942624929
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
THE DIVERSITY INITIATIVE
Practice address
9250 Bay Plaza Blvd Ste 310
Tampa, FL 33619-4465
Phone
(813) 644-6829
Fax
(813) 644-3830
NPI assigned
Feb 11, 2014
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Mr. John Pribanic, BA
Title
President
Phone
(813) 850-4736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

9250 Bay Plaza Blvd Ste 310
Tampa, FL 33619-4465

Mailing address

9250 Bay Plaza Blvd Ste 310
Tampa, FL 33619-4465
Phone (813) 644-6829

Other identifiers 1

IdentifierTypeStateIssuer
0161185275MedicaidFL

National Provider Directory

National Provider Directory

Locations

9250 Bay Plaza Blvd
Ste 310
Tampa, FL 33619
Phone (813) 644-6829

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1942624929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BAY PLAZA BLVD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194465",
            "telephone_number": "813-644-6829",
            "fax_number": "813-644-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BAY PLAZA BLVD STE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336194465",
            "telephone_number": "813-644-6829",
            "fax_number": "813-644-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DIVERSITY INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "PRIBANIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-850-4736",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161185275",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.