DIVERSE CARE CLINIC OF CANTON PLLC
NPI 1437006061
Nurse Practitioner - Primary Care in Canton, TX
About Diverse Care Clinic Of Canton Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSE CARE CLINIC OF CANTON PLLC (NPI 1437006061) is a healthcare organization registered as a primary care in Canton, Texas and active in the NPI registry since March 2026. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Cassidy Jones, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2343819
Diverse Care Clinic Of Canton, PLLC · Canton, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Diverse Care Clinic Of Canton PLLC's NPI number?
The NPI number for Diverse Care Clinic Of Canton PLLC is 1437006061. It was assigned to this organization in the NPPES registry on March 12, 2026.
Where is Diverse Care Clinic Of Canton PLLC located?
Diverse Care Clinic Of Canton PLLC is located at 658 S Trade Days Blvd, Canton, TX 75103. The listed phone number is (214) 801-8361.
What is Diverse Care Clinic Of Canton PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Does Diverse Care Clinic Of Canton PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2343819) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Diverse Care Clinic Of Canton PLLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Diverse Care Clinic Of Canton Pllc · NPI 1437006061
Primary Care organization in Canton, Texas. Organization record, active in the CMS NPPES registry since March 12, 2026.
## Identity
- **NPI:** 1437006061 (Entity type: Organization)
- **Enumerated:** March 12, 2026
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **Organization subpart:** No
- **Authorized official:** Cassidy Jones, OWNER
## Practice location
- **Address:** 658 S TRADE DAYS BLVD, Canton, TX 75103-1826
- **Phone:** (214) 801-8361
## Record status
- **NPPES last updated:** March 31, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437006061) · Data from the CMS NPPES public registry.