Individual provider Active NPI

Diane Lynn Thiery, ARNP

  • Family Nurse Practitioner
  • Columbia, KY
National Provider Identifier
1255335238
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1256 Issued in KY
Practice address
805 Burkesville St
Columbia, KY 42728-1655
Phone
(270) 384-1110
Fax
(270) 384-4241
NPI assigned
Jun 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
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 1256 KY Primary

Addresses

Primary practice location

805 Burkesville St
Columbia, KY 42728-1655

Mailing address

805 Burkesville St
Columbia, KY 42728-1655
Phone (270) 384-1110

Other identifiers 1

IdentifierTypeStateIssuer
78001021MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100325000538 KY Practitioner - Nurse Practitioner 5890604359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1256KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions LLC CurrentSince Oct 21, 2023 Accepting new patients

Locations

805 Burkesville St
Columbia, KY 42728
Phone (270) 384-0233

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255335238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281655",
            "telephone_number": "270-384-1110",
            "fax_number": "270-384-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281655",
            "telephone_number": "270-384-1110",
            "fax_number": "270-384-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIERY",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78001021",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, KY

Sources for this page

Verify at the official NPI Registry.