Diakonos, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

DIAKONOS, INC.

Practice address

1419 Wilson W Lee Blvd
Statesville, NC 28677-7021

Phone

(704) 872-4045

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Michele P Knapp

Title

Finance Officer

Phone

(704) 872-4045

Specialties & licenses 4

Addresses

Other names 4

• Fifth Street Ministries Doing business as
• Hope of Mooresville (HOMe) Doing business as
• My Sister's House Doing business as
• Path Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aimee Campbell Culler

  • Clinical Social Worker
  • Mooresville, NC
  • NPI 1215206214

  Counselor

  NPD (past)

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1972807535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5217",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286875217",
            "telephone_number": "704-872-4045",
            "fax_number": "704-873-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 WILSON W LEE BLVD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286777021",
            "telephone_number": "704-872-4045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 5th St",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286777162",
            "country_code": "US",
            "telephone_number": "704-872-4045",
            "fax_number": "704-873-3319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 Iredell Ave",
            "address_purpose": "LOCATION",
            "city": "Troutman",
            "state": "NC",
            "postal_code": "28166",
            "country_code": "US",
            "telephone_number": "704-872-3403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIAKONOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "704-872-4045"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fifth Street Ministries",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hope of Mooresville (HOMe)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Sister's House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Path",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Scott Denson
• Joel Keith Devine, MACC, LCMHC
• Gary Kenneth Deweese, MD
• Katharine Zeman Dhupar, CRNP
• Diagnostic Audiology and Hearing Aid Services
• Roy Dickenson, LPN
• Rodney Lee Dingess, C.R.N.A.
• Christopher John Dirig, DDS
• Rachel Beth Disanto, M.D.
• Charles Thomas Dixon, M.S., NCC, LPCA

• All providers in Statesville, NC
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.