Active NPI
Diana Lynn Pierce, LCSW
- Social Worker
- Fort Wayne, IN
National Provider Identifier
1063432425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 10305 Dawsons Creek Blvd Ste C
Fort Wayne, IN 46825-1914 - Phone
- (260) 485-0568
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IN | Primary |
Addresses
Primary practice location
10305 Dawsons Creek Blvd Ste C
Fort Wayne, IN 46825-1914
Mailing address
10305 Dawsons Creek Blvd Ste C
Fort Wayne, IN 46825-1914
Phone (260) 485-0568
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000183106 | Other | BCBS |
Other names 1
- Diana Miller-Pierce
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1063432425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10305 DAWSONS CREEK BLVD STE C",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251914",
"telephone_number": "260-485-0568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 DAWSONS CREEK BLVD STE C",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251914",
"telephone_number": "260-485-0568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCE",
"first_name": "DIANA",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000183106",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "MILLER-PIERCE",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.