DIVERSITY HEALTHCARE SERVICES INC. (NPI# 1417416546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417416546 |
| Entity Type | Organization |
| Organization Name | DIVERSITY HEALTHCARE SERVICES INC. |
| Practice Address |
12818 Century Dr Ste 106 Stafford TX 77477-4224 |
| Mailing Address |
Po Box 770701 Houston TX 77215-0701 |
| Practice Telephone | 8322062226 |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |
| Authorized Official Name | NDI ESIERE (MANAGER) |
| Authorized Official Telephone | 8322062226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12818 CENTURY DR STE 106 |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996817 | Kafayat T Adigun | Nurse Practitioner | 1011 Allisa St, Stafford, TX 77477-4625 | 2020-06-13 |
| 1811518962 | Olguine Theard-chery | Nurse Practitioner | 9 Short Branch Rd, Stafford, VA 22556-4635 | 2020-04-29 |
| 1992356414 | Rachael Ann Johnson Anderson | Nurse Practitioner | 1208 Brent Point Rd, Stafford, VA 22554-3313 | 2019-09-25 |
| 1588220255 | Christiana Bangura | Nurse Practitioner | 422 Garrisonville Rd Ste 103, Stafford, VA 22554-1573 | 2019-05-17 |
| 1306310214 | Pizzazz Healthcare Systems | Nurse Practitioner | 618 Wheelhouse Dr, Stafford, TX 77477-5828 | 2019-01-14 |
| 1225506397 | Larissa Kaneesha Peterson | Nurse Practitioner | 422 Garrisonville Rd Ste 111, Stafford, VA 22554-1573 | 2018-11-07 |
| 1891274296 | Erika Jonte Martin | Nurse Practitioner | 4800 Sugar Grove Blvd Ste 390, Stafford, TX 77477-2631 | 2018-08-07 |
| 1891214508 | Lakeshia Evans | Nurse Practitioner | 215 Freesia Ln, Stafford, VA 22554-2532 | 2017-09-13 |
| 1467970244 | Gwendolyn S Black | Nurse Practitioner | 4800 Sugar Grove Blvd Ste 540, Stafford, TX 77477-2150 | 2017-08-31 |
| 1598292930 | Melanie Deshawn Ceasar-amponsah | Nurse Practitioner | 318 Leisure Dr, Stafford, TX 77477-5830 | 2017-05-16 |
| Find all providers in STAFFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.