Diane Kenton Mattern, NURSE PRACTITIONER

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

10883.122 Issued in WY

Practice address

475 South Spruce
Casper Natrona County Health Department
Casper, WY 82601-0000

Phone

(307) 235-9340

Fax

(307) 237-2036

NPI assigned

Dec 23, 2005

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

• Diane Sentinella Mattern Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/58a432b4-e1e9-4961-babc-ff3b87eb8606/

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.

• Hugh D. Depaolo M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Casper, WY
  • NPI 1740391010
  NPD (past)
• Rocky Mountain Infectious Diseases

  • Infectious Disease Physician
  • Casper, WY
  • NPI 1497833180
  NPD (past)

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1184601700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 S POPLAR ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826015307",
            "telephone_number": "307-259-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SOUTH SPRUCE",
            "address_2": "CASPER NATRONA COUNTY HEALTH DEPARTMENT",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826010000",
            "telephone_number": "307-235-9340",
            "fax_number": "307-237-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "DIANE",
        "middle_name": "KENTON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WY",
            "license": "10883.122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MATTERN",
            "middle_name": "SENTINELLA",
            "credential": "NURSE PRACTITIONER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert James Marvin, RPH
• Mary E Macguire MD PC
• Anne E Massey
• Jami Massey, M.S., CCC-SLP
• Dama Wimbish Matchett, LMFT
• Matthew Dodds
• Ethan James Matthew, MD
• Jane Elizabeth Matthews, M.S., P.P.C.
• Katheryn Louise Matthews, MSW, PCSW
• Paul G Matz, MD

• Adult Health Nurse Practitioner in Casper, WY
• Providers in Casper, WY by specialty
• Adult Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.