Organization Active NPI

Diana L. Corley, FNP, LLC

  • Family Nurse Practitioner
  • Center Point, LA
National Provider Identifier
1043747314
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DIANA L. CORLEY, FNP, LLC
Practice address
1015 Highway 107
Center Point, LA 71323-3525
Phone
(318) 409-4125
Fax
(855) 877-6796
NPI assigned
May 17, 2017
Last updated
May 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Diana Louise Corley, APRNNPI 1609061860
Title
Provider/Owner
Phone
(318) 409-4125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

1015 Highway 107
Center Point, LA 71323-3525

Mailing address

PO Box 38
Center Point, LA 71323-0038
Phone (318) 409-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170622001028 LA Part B Supplier - Clinic/Group Practice 5193093722 Receives reassigned benefits from 2 practitioners
Practice locations: Center Point, LA; Marksville, LA

National Provider Directory

National Provider Directory

Locations

137 Dr Childress Dr
Marksville, LA 71351
Phone (318) 256-3332

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1043747314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "CENTER POINT",
            "state": "LA",
            "postal_code": "713230038",
            "telephone_number": "318-409-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HIGHWAY 107",
            "city": "CENTER POINT",
            "state": "LA",
            "postal_code": "713233525",
            "telephone_number": "318-409-4125",
            "fax_number": "855-877-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA L. CORLEY, FNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "318-409-4125",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Point, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.