Diane E Witt, N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

CNP 0951 Issued in MN

Practice address

4784 390TH Ave
Janesville, MN 56048-1701

Phone

(507) 234-6906

Fax

(507) 234-6906

NPI assigned

Aug 29, 2007

Last updated

Sep 29, 2015By 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1053505495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4784 390TH AVE",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560481701",
            "telephone_number": "507-234-6906",
            "fax_number": "507-234-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4784 390TH AVE",
            "city": "JANESVILLE",
            "state": "MN",
            "postal_code": "560481701",
            "telephone_number": "507-234-6906",
            "fax_number": "507-234-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITT",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "CNP 0951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Let's Speak
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• Adult Health Nurse Practitioner in Janesville, MN
• Providers in Janesville, MN by specialty
• Adult Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.