Diana Handley

Key facts

NPI

1104029644

Entity type

Individual (NPI type 1)

Primary specialty

Orthopedic Registered Nurse 163WX0800X

License

28087242A (IN)

Practice address

560 Redwood Dr
Pendleton, IN 46064-9263

Phone

(765) 778-8292

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104029644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 REDWOOD DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 REDWOOD DR",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649263",
            "telephone_number": "765-778-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLEY",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "IN",
            "license": "28087242A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, IN

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• Ronald T Harmening, MD
• Kelsey Harrington, RBT
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All providers in Pendleton, IN · Orthopedic Registered Nurse in Indiana