Active NPI
Diamond Fennell, RN
- Registered Nurse
- Nanuet, NY
National Provider Identifier
1083454615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 931086
- Practice address
- 20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530 - Phone
- (845) 570-2222
- NPI assigned
- May 30, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 931086 | NY | Primary |
Addresses
Primary practice location
20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530
Mailing address
20 Old Turnpike Rd Ste 307
Nanuet, NY 10954-2530
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 931086 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1083454615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLD TURNPIKE RD STE 307",
"city": "NANUET",
"state": "NY",
"postal_code": "109542530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLD TURNPIKE RD STE 307",
"city": "NANUET",
"state": "NY",
"postal_code": "109542530",
"telephone_number": "845-570-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENNELL",
"first_name": "DIAMOND",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "931086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.