Active NPI
Diane Lee Omiecinski
- Nurse's Aide
- Ashtabula, OH
National Provider Identifier
1235561192
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 373433661193
- Practice address
- 3404 Lake Ave Apt 13
Ashtabula, OH 44004-5733 - Phone
- (440) 637-3798
- NPI assigned
- Aug 2, 2013
- Last updated
- Aug 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 373433661193 | OH | Primary |
Addresses
Primary practice location
3404 Lake Ave Apt 13
Ashtabula, OH 44004-5733
Mailing address
3404 Lake Ave Apt 13
Ashtabula, OH 44004-5733
Phone (440) 637-3798
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 373433661193 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1235561192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3404 LAKE AVE APT 13",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045733",
"telephone_number": "440-637-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 LAKE AVE APT 13",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045733",
"telephone_number": "440-637-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMIECINSKI",
"first_name": "DIANE",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-02",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "373433661193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.