Individual provider Active NPI

Diana Lynn Gedeon, RN, LSW

  • Registered Nurse
  • Athens, OH
National Provider Identifier
1003105248
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN307502 Issued in OH
Practice address
16922 S Canaan Rd
Athens, OH 45701-9461
Phone
(740) 592-6074
Fax
(740) 592-6074
NPI assigned
Mar 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN307502 OH Primary

Addresses

Primary practice location

16922 S Canaan Rd
Athens, OH 45701-9461

Mailing address

16922 S Canaan Rd
Athens, OH 45701-9461
Phone (740) 592-6074

Other names 1

  • Lynn Gedeon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN307502OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301270400000",
    "number": "1003105248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16922 S CANAAN RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019461",
            "telephone_number": "740-592-6074",
            "fax_number": "740-592-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16922 S CANAAN RD",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457019461",
            "telephone_number": "740-592-6074",
            "fax_number": "740-592-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDEON",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "RN, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN307502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "GEDEON",
            "credential": "RN, LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.