Individual provider Active NPI

Diana Kozlina-Peretic, CRNP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1235175928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP002280B Issued in PA
Practice address
100 Wellness Way
Washington, PA 15301-9706
Phone
(724) 225-6500
Fax
(724) 225-8188
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

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
Family Nurse Practitioner 363LF0000X TP002280B PA Primary

Addresses

Primary practice location

100 Wellness Way
Washington, PA 15301-9706

Mailing address

100 Wellness Way
Washington, PA 15301-9706
Phone (724) 225-6500

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

State licenses

LicenseStateTypeSpecialty
TP002280BPAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Physician Services Past Accepting new patients
Frazier Hart Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235175928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019706",
            "telephone_number": "724-225-6500",
            "fax_number": "724-225-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153019706",
            "telephone_number": "724-225-6500",
            "fax_number": "724-225-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLINA-PERETIC",
        "first_name": "DIANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP002280B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

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.