Individual provider Active NPI

Diane Dove Nens, MA, CCC-A

  • Audiologist
  • Livonia, MI
National Provider Identifier
1124215116
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000360 Issued in MI
Practice address
14700 Farmington Rd
Suite 102
Livonia, MI 48154-5430
Phone
(734) 525-3900
Fax
(734) 525-4020
NPI assigned
Oct 3, 2007
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000360 MI Primary

Addresses

Primary practice location

14700 Farmington Rd
Suite 102
Livonia, MI 48154-5430

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (734) 525-3900

Other identifiers 1

IdentifierTypeStateIssuer
1124215116MedicaidMI

Other names 1

  • Ms. Diane Louise Dove 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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1124215116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "734-525-3900",
            "fax_number": "734-525-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 FARMINGTON RD",
            "address_2": "SUITE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545430",
            "telephone_number": "734-525-3900",
            "fax_number": "734-525-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NENS",
        "first_name": "DIANE",
        "middle_name": "DOVE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124215116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "DOVE",
            "middle_name": "LOUISE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.