Active NPI
Courtney Nicole Diffin
- Other Technician
- Birch Run, MI
National Provider Identifier
1245622844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 6305 Birch Run Rd
Birch Run, MI 48415-8594 - Phone
- (989) 751-9085
- NPI assigned
- Feb 19, 2015
- Last updated
- Feb 19, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | NU | Primary |
Addresses
Primary practice location
6305 Birch Run Rd
Birch Run, MI 48415-8594
Mailing address
6305 Birch Run Rd
Birch Run, MI 48415-8594
Phone (989) 751-9085
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1245622844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6305 BIRCH RUN RD",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484158594",
"telephone_number": "989-751-9085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6305 BIRCH RUN RD",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484158594",
"telephone_number": "989-751-9085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIFFIN",
"first_name": "COURTNEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birch Run, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.