Diana Allen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

7979158 Issued in MI

Practice address

4972 Lake Harbor Rd
Norton Shores, MI 49441-5272

Phone

(231) 720-8986

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1275981219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 LAKE HARBOR RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415272",
            "telephone_number": "231-720-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 LAKE HARBOR RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494415272",
            "telephone_number": "231-720-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "7979158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "7979158",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulina Alexander
• Tiffany Alexander
• Kathryn B Alguire, M.D.
• Align Psychology LLC
• Gabrielle Marie Allbright, PHYSICIAN ASSISTANT
• Max M. Allen Jr., D.O.
• American Hearing Centers, LLC
• Joshua Michael Andaloro, DDS
• Hannah Anderson, PHARM. D.
• Jade Courtney Anderson

• Case Manager/Care Coordinator in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.