Active NPI
Dianne H. Drum, AGNP
- Primary Care Nurse Practitioner
- Middletown, NJ
National Provider Identifier
1134635568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00770400
- Practice address
- 18 Leonardville Rd
Middletown, NJ 07748-2311 - Phone
- (732) 671-0860
- Fax
- (732) 671-6467
- NPI assigned
- Dec 21, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00770400 | NJ | Primary |
Addresses
Primary practice location
18 Leonardville Rd
Middletown, NJ 07748-2311
Mailing address
PO Box 8519
Red Bank, NJ 07701-8519
Phone (732) 460-9840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00770400 | NJ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tapestry Telehealth PLLC | Current | Accepting new patients | |
| Ima Urgent Care | Past | Accepting new patients |
Locations
99 Hawley Ln
Ste 1102
Stratford, CT 06614
115 Dutch Lane Rd
Freehold, NJ 07728
Phone (732) 431-7420
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
Interoperability endpoints
- dianne.drum@ima.directbygreenway.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71872
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1992215446
-
- Urgent Care Clinic/Center
- Shrewsbury, NJ
- NPI 1427432244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1134635568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8519",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077018519",
"telephone_number": "732-460-9840",
"fax_number": "732-460-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LEONARDVILLE RD",
"city": "MIDDLETOWN",
"state": "NJ",
"postal_code": "077482311",
"telephone_number": "732-671-0860",
"fax_number": "732-671-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "DIANNE",
"middle_name": "H.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00770400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.