Celia M Diehl, LPN, NO. 307099-031

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

307099-031 Issued in WI

Practice address

2124 Orrie LN
Green Bay, WI 54304-4345

Phone

(920) 530-2147

NPI assigned

Apr 18, 2018

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Celia M Huss Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1124515861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LEE AVE",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541151133",
            "telephone_number": "920-986-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 ORRIE LN",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543044345",
            "telephone_number": "920-530-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Lee Ave",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541151133",
            "country_code": "US",
            "telephone_number": "920-986-1586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 Lee Ave",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541151133",
            "country_code": "US",
            "telephone_number": "920-986-1586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "CELIA",
        "middle_name": "M",
        "credential": "LPN, NO. 307099-031",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "307099-031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELIA",
            "last_name": "HUSS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Dicarlo-Pamperin, LCSW
• Roseann M. Dichraff, APNP
• William M Dichraff, DDS
• Suzette Carolyn-Eve Diederich, M.S. ED., L.P.C.
• Ashley L Diedrich, AA
• William J Dierberg, M.D.
• Michael E Dietrich, MD
• Megan Dietze-Fiedler, M.D.
• Eileen Diller, APSW
• Dimensions Living Green Bay, LLC (Dimensions Living Green Bay)

• Licensed Practical Nurse in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.