Active NPI
Seagan Kay Diehm
- Family Nurse Practitioner
- Fort Wayne, IN
National Provider Identifier
1093229296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F06172243
- Practice address
- 413 E Jefferson Blvd
Fort Wayne, IN 46802-3201 - Phone
- (260) 469-0232
- NPI assigned
- Nov 27, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F06172243 | IN | Primary |
Addresses
Primary practice location
413 E Jefferson Blvd
Fort Wayne, IN 46802-3201
Mailing address
1059 State Road 8
Garrett, IN 46738-9703
Phone (260) 246-7353
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F06172243 | IN | MD | Family Nurse Practitioner |
Interoperability endpoints
- sdiehm127352@direct.parkviewexchange.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1093229296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 STATE ROAD 8",
"city": "GARRETT",
"state": "IN",
"postal_code": "467389703",
"telephone_number": "260-246-7353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 E JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468023201",
"telephone_number": "260-469-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHM",
"first_name": "SEAGAN",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "F06172243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Nov 27, 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.