Individual provider Active NPI

Diane Melissa Criscuolo, NP

  • Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1235412545
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22216 Issued in CA
Practice address
321 Middlefield Rd Ste 225
Menlo Park, CA 94025-4010
Phone
(650) 724-5338
NPI assigned
Sep 22, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22216 CA Primary

Addresses

Primary practice location

321 Middlefield Rd Ste 225
Menlo Park, CA 94025-4010

Mailing address

700 Welch Rd Ste 301
Palo Alto, CA 94304-1521
Phone (650) 724-5338

Other names 1

  • Diane Hoeck Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4820CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Past Accepting new patients

Organizations & group practices 1

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235412545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WELCH RD STE 301",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041521",
            "telephone_number": "650-724-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MIDDLEFIELD RD STE 225",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254010",
            "telephone_number": "650-724-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCUOLO",
        "first_name": "DIANE",
        "middle_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "22216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HOECK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.