Individual provider Active NPI

Diana Thayer

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063975076
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP223586 Issued in AZ
Practice address
1910 E Thomas Rd Ste 200
Phoenix, AZ 85016
Phone
(602) 266-2200
Fax
(602) 604-5032
NPI assigned
Apr 8, 2019
Last updated
Aug 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RNP223586 AZ Primary
Acute Care Nurse Practitioner 363LA2100X RNP223586 AZ
Critical Care Medicine Nurse Practitioner 363LC0200X RNP223586 AZ
Gerontology Nurse Practitioner 363LG0600X RNP223586 AZ

Addresses

Primary practice location

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016

Mailing address

1910 E Thomas Rd Ste 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

Other practice location 1

4979 E Karsten Dr
Chandler, AZ 85249-7175
Phone (602) 810-8558

Other practice location 2

4979 E Karsten Dr
Chandler, AZ 85249-7175
Phone (602) 266-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191002001028 AZ Practitioner - Nurse Practitioner 5092045294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

1910 E Thomas Rd
Suite 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP223586AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spine & Sports Rehabilitation Institute CurrentSince Aug 1, 2024 Accepting new patients
Sunstate Cardiology PC CurrentSince Aug 1, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 14, 2019 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Oct 14, 2019 Accepting new patients

Locations

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

2600 E Southern Ave
Ste I1
Tempe, AZ 85282
Phone (480) 420-3600

Interoperability endpoints

  • Direct secure messaging: diana.thayer@57560418353156.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/9401/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1063975076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167767",
            "telephone_number": "602-266-2200",
            "fax_number": "602-604-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E THOMAS RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-266-2200",
            "fax_number": "602-604-5032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4979 E Karsten Dr",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852497175",
            "country_code": "US",
            "telephone_number": "602-810-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4979 E Karsten Dr",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852497175",
            "country_code": "US",
            "telephone_number": "602-266-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAYER",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP223586",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "RNP223586",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "AZ",
            "license": "RNP223586",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "RNP223586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.