Diane B Luedtke, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TP006236C Issued in PA

Practice address

211 N 12TH St
Lehighton, PA 18235-1138

Phone

(570) 401-3960

Fax

(570) 325-8336

NPI assigned

Jan 18, 2007

Last updated

May 18, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Radiology & MRI of Bethlehem, Inc.

  • Diagnostic Radiology Physician
  • Bethlehem, PA
  • NPI 1225129901
  NPD (past)
• Urology Specialists of the Lehigh Valley PC

  • Urology Physician
  • Allentown, PA
  • NPI 1609865971
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1255484952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WHITE LN",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291022",
            "telephone_number": "570-325-4170",
            "fax_number": "570-325-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "570-401-3960",
            "fax_number": "570-325-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUEDTKE",
        "first_name": "DIANE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "TP006236C",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "TP006235H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Edward Lewellyn II, LCSW
• Queena Lin
• Mary Frances Lipinski, PAC
• Richard J Lizak, DO
• Yingmo Lu
• Mahoning Operating LLC (MahoningPostAcuteNursing&Rehabilitation)
• Mahoning Valley Ambulance Association
• Mahoning Valley Ambulance Association, Inc.
• Mahoning Valley Convalescent Home, Inc. (Mahoning Valley Nursing & Rehabilitation Center)
• Edward Marchessault, PT

• Adult Health Nurse Practitioner in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.