Active NPI
Dana Diblasi, RN
- Pediatric Registered Nurse
- Philadelphia, PA
National Provider Identifier
1215664560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- RN330027L
- Practice address
- 440 N Broad St
Philadelphia, PA 19130-4015 - Phone
- (215) 400-4000
- NPI assigned
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | RN330027L | PA | Primary |
Addresses
Primary practice location
440 N Broad St
Philadelphia, PA 19130-4015
Mailing address
124 Haws Lane
Flourtown, PA 19031
Flourtown, PA 19031
Phone (215) 834-8385
Other practice location 1
124 Haws Lane
Flourtown, PA 19031
Flourtown, PA 19031
Phone (215) 834-8385
Other practice location 2
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1749
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN330027L | PA | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1215664560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 HAWS LANE",
"address_2": "FLOURTOWN, PA 19031",
"city": "FLOURTOWN",
"state": "PA",
"postal_code": "19031",
"telephone_number": "215-834-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191304015",
"telephone_number": "215-400-4000"
}
],
"practiceLocations": [
{
"address_1": "124 Haws Lane",
"address_2": "Flourtown, PA 19031",
"address_purpose": "LOCATION",
"city": "Flourtown",
"state": "PA",
"postal_code": "19031",
"country_code": "US",
"telephone_number": "215-834-8385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Civic Center Blvd",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044319",
"country_code": "US",
"telephone_number": "215-590-1749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIBLASI",
"first_name": "DANA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-05",
"last_updated": "2022-08-05",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "PA",
"license": "RN330027L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.