Diane Stewart, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH26145 Issued in FL

Practice address

1911 Kennedy Dr Apt 302
MC Lean, VA 22102-4729

Phone

(912) 271-4773

NPI assigned

Jul 27, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1063148526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8960 BROWN DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895629",
            "telephone_number": "301-295-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 KENNEDY DR APT 302",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024729",
            "telephone_number": "912-271-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DIANE",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH26145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRIME",
            "identifier": "1256212168",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.k.stewart8.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "8960 Brown Dr Fl 2",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208895629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carla Stephan
• Lauren Nicole Stephens, MS IN COUSELING
• Rosalind Grunstein Stern, ED.S.
• Lars Stevenson
• Stewa Health Services LLC
• Jennifer Lynn Stidham
• Heather L Stone, AU.D.
• Michael Joseph Stone, MD
• Rebekah P Stone, LPC
• Terri Stork

• Dental Hygienist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.