Active NPI
Diana E Hessberger, M.S. EDUCATION
- Community Health Worker
- Apalachin, NY
National Provider Identifier
1003154402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 1205076
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1205076 | NY | MD | Community 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.