Diana Asucena Sifuentes, MS, EP-C

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2619 Dustin Place CT
Humble, TX 77396-5906

Phone

(936) 553-8622

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1215667654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 DUSTIN PLACE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773965906",
            "telephone_number": "936-553-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 DUSTIN PLACE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773965906",
            "telephone_number": "936-553-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFUENTES",
        "first_name": "DIANA",
        "middle_name": "ASUCENA",
        "name_prefix": "Ms.",
        "credential": "MS, EP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vasilika Shmidt
• Charles Edward Shobe, COTA
• Nicole Shojaei
• Kim Ray Shrum, MD
• Coy Bentry Sidney
• Anne Michelle Simmons
• Ashley Mitchell Simmons, COTA
• Kalendria Simmons
• Kimberly Simmons, LCSW
• Jennifer Simon, FNP-C

• Clinical Exercise Physiologist in Humble, TX
• Providers in Humble, TX by specialty
• Clinical Exercise Physiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.