Active NPI
Diane Frances Seago, NP
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1285683037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP2351
- Practice address
- 3811 E Bell Rd
Suite 100
Phoenix, AZ 85032-2138 - Phone
- (623) 516-8252
- Fax
- (623) 516-8253
- NPI assigned
- May 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP2351 | AZ | Primary |
Addresses
Primary practice location
3811 E Bell Rd
Suite 100
Phoenix, AZ 85032-2138
Mailing address
5281 N 99TH Ave
Suite 100
Glendale, AZ 85305-3105
Phone (623) 241-6152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069636-04 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2351 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Sun City Medical Group | Past | Accepting new patients | |
| Sun Health Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Sun City, AZ
- NPI 1902067200
-
- Clinic/Center
- Sun City, AZ
- NPI 1568412658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1285683037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5281 N 99TH AVE",
"address_2": "SUITE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053105",
"telephone_number": "623-241-6152",
"fax_number": "623-241-6152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 E BELL RD",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322138",
"telephone_number": "623-516-8252",
"fax_number": "623-516-8253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEAGO",
"first_name": "DIANE",
"middle_name": "FRANCES",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP2351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "069636-04",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.