Diana Marie Hafner, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

5489 Issued in FL

Practice address

2960 S US Highway 1 Ste D2
Fort Pierce, FL 34982-8142

Phone

(772) 465-2141

Fax

(772) 465-0997

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Networks

• FL PPO
• devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
• FL HMO D-SNP
• devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
• devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
• devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
• FL HMO
• AL HMO
• devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
• Optimum HealthCare HMO Network
• FL HMO C-SNP
• AL HMO D-SNP
• Freedom Health HMO Network

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1003459991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 SW SAVAGE ST",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349905277",
            "telephone_number": "772-361-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 S US HIGHWAY 1 STE D2",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349828142",
            "telephone_number": "772-465-2141",
            "fax_number": "772-465-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFNER",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "5489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Gutierrez, BS
• Angela Guzenski
• GV Fort Pierce Opco LLC
• Gwendolyn McLeod
• Michael B Gyimah, MD
• Joshua Dennis Hagan, MD
• Jordan P Hagans, APRN
• Jessica Dawn Hagerman, B.S.
• Mia Yvette Hall, DMFT & LCSW
• Ria Hallenbeck, ARNP

• Hearing Instrument Specialist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Hearing Instrument Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.