Individual provider Active NPI

Dianne H. Drum, AGNP

  • Primary Care Nurse Practitioner
  • Middletown, NJ
National Provider Identifier
1134635568
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00770400 Issued in NJ
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

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00770400NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tapestry Telehealth PLLC CurrentSince Aug 3, 2022 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

  • Direct secure messaging: dianne.drum@ima.directbygreenway.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.