Individual provider Active NPI

Diana M Floyd, R.D, L.D.

  • Registered Dietitian
  • Herington, KS
National Provider Identifier
1104153709
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
134 Issued in KS
Practice address
100 E Helen St
Herington, KS 67449-1606
Phone
(785) 258-2207
Fax
(785) 258-3535
NPI assigned
Nov 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 134 KS Primary

Addresses

Primary practice location

100 E Helen St
Herington, KS 67449-1606

Mailing address

100 E Helen St
Herington, KS 67449-1606
Phone (785) 258-2207

Other names 1

  • Diana M Polston Former name

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

LicenseStateTypeSpecialty
134KSMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1104153709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HELEN ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491606",
            "telephone_number": "785-258-2207",
            "fax_number": "785-258-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HELEN ST",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491606",
            "telephone_number": "785-258-2207",
            "fax_number": "785-258-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "R.D, L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "POLSTON",
            "middle_name": "M",
            "credential": "R.D, L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Herington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.