Individual provider Active NPI

Diane J Fashinpaur, MSN, CRNP

  • Nurse Practitioner
  • Akron, OH
National Provider Identifier
1023210663
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN 115241 Issued in OH
Practice address
The University of Akron
Health Services, SRWC Suite 260
Akron, OH 44325-1101
Phone
(330) 972-7808
Fax
(330) 972-8849
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN 115241 OH Primary

Addresses

Primary practice location

The University of Akron
Health Services, SRWC Suite 260
Akron, OH 44325-1101

Mailing address

2677 Southern Rd
Richfield, OH 44286-9520
Phone (330) 659-4653

Other identifiers 1

IdentifierTypeStateIssuer
3031883MedicaidOH

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)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN 115241OHMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1023210663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 SOUTHERN RD",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869520",
            "telephone_number": "330-659-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE UNIVERSITY OF AKRON",
            "address_2": "HEALTH SERVICES, SRWC SUITE 260",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443251101",
            "telephone_number": "330-972-7808",
            "fax_number": "330-972-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHINPAUR",
        "first_name": "DIANE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN 115241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031883",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.