Individual provider Active NPI

Diana Clewett

  • Case Manager/Care Coordinator
  • Lexington, KY
National Provider Identifier
1194844738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
225 Aberdeen Dr
Lexington, KY 40517-1301
Phone
(859) 272-4247
Fax
(859) 272-0165
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

225 Aberdeen Dr
Lexington, KY 40517-1301

Mailing address

225 Aberdeen Dr
Lexington, KY 40517-1301
Phone (859) 272-4247

Other identifiers 1

IdentifierTypeStateIssuer
01964OtherKYPROVIDER ID FOR BILLING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194844738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ABERDEEN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171301",
            "telephone_number": "859-272-4247",
            "fax_number": "859-272-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ABERDEEN DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171301",
            "telephone_number": "859-272-4247",
            "fax_number": "859-272-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWETT",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID FOR BILLING",
            "identifier": "01964",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.