Individual provider Active NPI

Diana Dawn Shirk, RN

  • Registered Nurse
  • Canal Winchester, OH
National Provider Identifier
1205006418
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN256840 Issued in OH
Practice address
7256 Porter Dr
Canal Winchester, OH 43110-8230
Phone
(614) 833-1094
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN256840 OH Primary

Addresses

Primary practice location

7256 Porter Dr
Canal Winchester, OH 43110-8230

Mailing address

7256 Porter Dr
Canal Winchester, OH 43110-8230
Phone (614) 833-1094

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN256840OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1205006418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7256 PORTER DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108230",
            "telephone_number": "614-833-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 PORTER DR",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108230",
            "telephone_number": "614-833-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "DIANA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN256840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.