Individual provider Active NPI

Diane Marla Sabel, P.A.-C

  • Medical Physician Assistant
  • Apollo Beach, FL
National Provider Identifier
1265671861
Registry record updated Jul 24, 2013
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 1128b(4) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9104904 Issued in FL
Practice address
6015 Rex Hall LN
Apollo Beach, FL 33572-2657
Phone
(813) 641-0068
Fax
(813) 645-3816
NPI assigned
Feb 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9104904 FL Primary

Addresses

Primary practice location

6015 Rex Hall LN
Apollo Beach, FL 33572-2657

Mailing address

13514 Avista Dr
Tampa, FL 33624-4348
Phone (813) 310-7827

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. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9104904FLMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1265671861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13514 AVISTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336244348",
            "telephone_number": "813-310-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 REX HALL LN",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722657",
            "telephone_number": "813-641-0068",
            "fax_number": "813-645-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABEL",
        "first_name": "DIANE",
        "middle_name": "MARLA",
        "name_prefix": "Miss",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

Verify at the official NPI Registry.