Active NPI
Diana Jane Ediger, NP
- Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1285884320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-5758
- Practice address
- 2165 Hollow Brook Dr Ste 10a
Colorado Springs, CO 80918-1463 - Phone
- (719) 332-0070
- Fax
- (719) 434-3639
- NPI assigned
- Sep 25, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 116123 | CO | |
| Nurse Practitioner | 363L00000X | NP-5758 | CO | Primary |
Addresses
Primary practice location
2165 Hollow Brook Dr Ste 10a
Colorado Springs, CO 80918-1463
Mailing address
2165 Hollow Brook Dr Ste 10a
Colorado Springs, CO 80918-1463
Phone (719) 332-0070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5758 | Other | CO | COLORADO BOARD OF NURSING |
| 116123 | Other | CO | STATE OF COLORADO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5758 | CO | MD | Professional Counselor |
| 116123 | CO | MD | Registered Nurse |
| NP-5758 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark C Meyer MD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Spinal Diagnostics & Pain Management
- Anesthesiology Physician
- Colorado Springs, CO
- NPI 1821175100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326240000000",
"number": "1285884320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2165 HOLLOW BROOK DR STE 10A",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181463",
"telephone_number": "719-332-0070",
"fax_number": "719-434-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 HOLLOW BROOK DR STE 10A",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181463",
"telephone_number": "719-332-0070",
"fax_number": "719-434-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDIGER",
"first_name": "DIANA",
"middle_name": "JANE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-25",
"last_updated": "2012-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "116123",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "NP-5758",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO BOARD OF NURSING",
"identifier": "5758",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF COLORADO",
"identifier": "116123",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.