Individual provider Active NPI

Diana Cruz Bishop, RN,BS,MA

  • School Registered Nurse
  • Commack, NY
National Provider Identifier
1275870974
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
292455 Issued in NY
Practice address
202 Burr Rd
Commack, NY 11725-1810
Phone
(631) 858-3621
Fax
(631) 858-3643
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 292455 NY Primary

Addresses

Primary practice location

202 Burr Rd
Commack, NY 11725-1810

Mailing address

202 Burr Rd
Commack, NY 11725-1810
Phone (631) 858-3621

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
Credentials
Bachelor of Science, Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
292455NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1275870974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BURR RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251810",
            "telephone_number": "631-858-3621",
            "fax_number": "631-858-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BURR RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251810",
            "telephone_number": "631-858-3621",
            "fax_number": "631-858-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "DIANA",
        "middle_name": "CRUZ",
        "name_prefix": "Mrs.",
        "credential": "RN,BS,MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "292455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.