Diana L Thornbury, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704159130 Issued in MI

Practice address

30800 Telegraph Rd Ste 2800
Bingham Farms, MI 48025-5704

Phone

(248) 593-0100

Fax

(248) 593-0200

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1245583699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255704",
            "telephone_number": "248-593-0100",
            "fax_number": "248-593-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30800 TELEGRAPH RD STE 2800",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255704",
            "telephone_number": "248-593-0100",
            "fax_number": "248-593-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNBURY",
        "first_name": "DIANA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704159130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "4704159130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Fay Thompson
• Dajae A Thompson
• Jacara Thompson
• Ramah Thompson
• Shannon Jeanne Thompson
• Angelika Thornton
• Thumb Area Anesthesia Associates
• Thumb Area Anesthesia Associates (Ambulatory Surgery Consultants)
• Aya Tiba
• Hannah Marie Tikkanen

• Registered Nurse in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.