Individual provider Active NPI

Diana Leigh Meisburger, PH.D.

  • Specialist
  • Raleigh, NC
National Provider Identifier
1033286471
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2154 Issued in NC
Practice address
4904 Waters Edge Dr
Suite 240
Raleigh, NC 27606-2484
Phone
(919) 851-3002
Fax
(919) 851-9127
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2154 NC Primary

Addresses

Primary practice location

4904 Waters Edge Dr
Suite 240
Raleigh, NC 27606-2484

Mailing address

4904 Waters Edge Dr
Suite 240
Raleigh, NC 27606-2484
Phone (919) 851-3002

Other identifiers 1

IdentifierTypeStateIssuer
6000788MedicaidNC

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2154NCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1033286471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 WATERS EDGE DR",
            "address_2": "SUITE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062484",
            "telephone_number": "919-851-3002",
            "fax_number": "919-851-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 WATERS EDGE DR",
            "address_2": "SUITE 240",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276062484",
            "telephone_number": "919-851-3002",
            "fax_number": "919-851-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISBURGER",
        "first_name": "DIANA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.