Diane J Anderson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

99800-30 Issued in WI

Practice address

604 Woodhaven CT
Cambridge, WI 53523-8604

Phone

(608) 469-5510

NPI assigned

Nov 28, 2018

Last updated

Nov 28, 2018By the provider in NPPES

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1033689443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WOODHAVEN CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535238604",
            "telephone_number": "608-469-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 WOODHAVEN CT",
            "city": "CAMBRIDGE",
            "state": "WI",
            "postal_code": "535238604",
            "telephone_number": "608-469-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DIANE",
        "middle_name": "J",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "99800-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Josephine Acker Bonney, LPN
• Angela Bauer DDS LLC
• Angela Marie Bauer Williams, D.D.S.
• Gail Patricia Beaver, COTA
• Beloved Therapy LLC
• Amber Rae Bladorn, NP

• Home Health Registered Nurse in Cambridge, WI
• Providers in Cambridge, WI by specialty
• Home Health Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.