Individual provider Active NPI

Diana E Hessberger, M.S. EDUCATION

  • Community Health Worker
  • Apalachin, NY
National Provider Identifier
1003154402
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
1205076 Issued in NY
Practice address
23 W Glann Rd
Apalachin, NY 13732-4026
Phone
(607) 237-3969
Fax
(607) 625-4251
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 1205076 NY Primary

Addresses

Primary practice location

23 W Glann Rd
Apalachin, NY 13732-4026

Mailing address

23 W Glann Rd
Apalachin, NY 13732-4026
Phone (607) 237-3969

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1205076NYMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1003154402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W GLANN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324026",
            "telephone_number": "607-237-3969",
            "fax_number": "607-625-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W GLANN RD",
            "city": "APALACHIN",
            "state": "NY",
            "postal_code": "137324026",
            "telephone_number": "607-237-3969",
            "fax_number": "607-625-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSBERGER",
        "first_name": "DIANA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.S. EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "1205076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apalachin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.