Active NPI
Diane Marie Dimola, MPH, RN, BSN, CPN
- Registered Nurse
- Knoxville, TN
National Provider Identifier
1043084916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 258595
- Practice address
- 1924 Alcoa Hwy
Knoxville, TN 37920-1511 - Phone
- (865) 305-9000
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 258595 | TN | |
| Inpatient Obstetric Registered Nurse | 163WX0003X | 258595 | TN | |
| Registered Nurse | 163W00000X | 258595 | TN | Primary |
Addresses
Primary practice location
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Mailing address
7809 Jefferson Oaks Dr
Knoxville, TN 37938-4446
Phone (609) 439-1809
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258595 | TN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1043084916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7809 JEFFERSON OAKS DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379384446",
"telephone_number": "609-439-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1924 ALCOA HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379201511",
"telephone_number": "865-305-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMOLA",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "MPH, RN, BSN, CPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "TN",
"license": "258595",
"primary": false
},
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "TN",
"license": "258595",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "258595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.