Active NPI
Janet Jeanenne Diffey, ANP-BC
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1083990535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2011035322
- Practice address
- 3722 Taft Ave
Saint Louis, MO 63116-4326 - Phone
- (314) 752-9799
- NPI assigned
- Oct 28, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2011035322 | MO | Primary |
Addresses
Primary practice location
3722 Taft Ave
Saint Louis, MO 63116-4326
Mailing address
3722 Taft Ave
Saint Louis, MO 63116-4326
Phone (314) 752-9799
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011035322 | MO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511827200000",
"number": "1083990535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 TAFT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164326",
"telephone_number": "314-752-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 TAFT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631164326",
"telephone_number": "314-752-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFFEY",
"first_name": "JANET",
"middle_name": "JEANENNE",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2017-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2011035322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.