Individual provider Active NPI

Diane Peele, FNP-BC

  • Family Nurse Practitioner
  • Seneca, SC
National Provider Identifier
1215440623
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21319 Issued in SC
Practice address
555 Bypass Highway 123 Ste C
Seneca, SC 29678-0810
Phone
(864) 888-0039
NPI assigned
Nov 7, 2017
Last updated
Nov 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21319 SC Primary

Addresses

Primary practice location

555 Bypass Highway 123 Ste C
Seneca, SC 29678-0810

Mailing address

555 Bypass Highway 123 Ste C
Seneca, SC 29678-0810
Phone (864) 888-0039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180116002759 SC Practitioner - Nurse Practitioner 5991064115 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Ambulatory Services - St. Francis, LLC CurrentSince Nov 18, 2019 Accepting new patients
Woodruff Road Urgent Care Center, P.C. Current Accepting new patients

Locations

1467 Woodruff Rd
Ste C
Greenville, SC 29607
Phone (864) 458-8126

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEJFBD/Endpoint/HEJFBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1215440623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BYPASS HIGHWAY 123 STE C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780810",
            "telephone_number": "864-888-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BYPASS HIGHWAY 123 STE C",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780810",
            "telephone_number": "864-888-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELE",
        "first_name": "DIANE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.