Positive Innovated Beginnings, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

POSITIVE INNOVATED BEGINNINGS, LLC

Practice address

1001 S Marshall St
Suite 2-6
Winston Salem, NC 27101-5852

Phone

(336) 602-9597

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Latricia Tanksley Pitts, B.A.

Title

Owner

Phone

(336) 602-9597

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1992938120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PARK CREEK CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043840",
            "telephone_number": "336-602-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MARSHALL ST",
            "address_2": "SUITE 2-6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015852",
            "telephone_number": "336-602-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE INNOVATED BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "LATRICIA",
        "authorized_official_middle_name": "TANKSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-602-9597",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Pamela Porter, PAC
• Hannah Elizabeth Porter, PA-C
• Royce Anthony Porter Jr., D.D.S.
• Yvette Marie Porter
• Martin A Portillo, MD
• Alexis Marie Pothuraju, PA-C
• Tejit Venkata Pothuraju
• Lawrence H. Potter Jr., MD
• Deepa Retnem Potti, M.D.
• Deborah Krist Potticary

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.