Diane Neddenriep, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

17428 Issued in AZ

Practice address

5155 E Farness Dr
Ste. 111a
Tucson, AZ 85712-2158

Phone

(520) 327-1787

Fax

(520) 321-9613

NPI assigned

Nov 6, 2006

Last updated

May 2, 2013By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1144399387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "STE. 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-327-1787",
            "fax_number": "520-321-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 E FARNESS DR",
            "address_2": "STE. 111A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122158",
            "telephone_number": "520-327-1787",
            "fax_number": "520-321-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDDENRIEP",
        "first_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "AZ",
            "license": "17428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277998",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Bayly Nebe I, M. ED.
• Holli Sue Nebel-Sussman
• Nebsource LLC
• Jennifer Lynn Neczypor, CNM, FNP-C
• Neda Consulting LLC (Adora Alliance)
• Cassandra Neeley, RBT
• Kyle Kendall Neeley, N.M.D.
• Laura T Neely, LCSW
• Neema LLC
• Sarah Neema

• Pediatric Pulmonology Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pediatric Pulmonology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.