Diane E Spiess

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

3500689 Issued in OH

Practice address

V911 State Route 109
Liberty Center, OH 43532-8709

Phone

(419) 270-6632

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1154917128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "V911 STATE ROUTE 109",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435328709",
            "telephone_number": "419-270-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "V911 STATE ROUTE 109",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435328709",
            "telephone_number": "419-270-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIESS",
        "first_name": "DIANE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "3500689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A Schroeder
• Kelsey Schwanz
• Ellie Selders
• Matthew Sheek
• Claudia Shiell Bustos
• Brandon Steele
• Julie Steinhardt, ED.S.
• Haden Sullivan
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• Penny Taylor, RN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Liberty Center, OH
• Providers in Liberty Center, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.