Diane Yaciuk, RN, BSN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

481275 Issued in NY

Practice address

301 N Washington St Ste 2300
Herkimer, NY 13350-1299

Phone

(315) 867-1176

Fax

(315) 867-1612

NPI assigned

Jun 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403654400000",
    "number": "1003221326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 2300",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501299",
            "telephone_number": "315-867-1176",
            "fax_number": "315-867-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N WASHINGTON ST STE 2300",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133501299",
            "telephone_number": "315-867-1176",
            "fax_number": "315-867-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACIUK",
        "first_name": "DIANE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "481275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Zasa Willett, FNP
• Katurah Willey
• Shelliann Williams
• Mark A Wilson, OT
• Tom Woznica
• Mariah Yoworski, OT
• Donald A. Yozzo II, PHARMACIST
• Najah Zaaeed, DRPH, LMSW, MPA
• Lorna Kay Zelman
• David James Zilka, DDS

• Community Health Registered Nurse in Herkimer, NY
• Providers in Herkimer, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.