Dianna Womer

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP12817 Issued in OH

Practice address

150 W Main St
Ste a
New Albany, OH 43054-9229

Phone

(614) 685-2058

Fax

(614) 685-9427

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dianna Statler Former name

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: dianna.womer.1@16701.direct.athenahealth.com

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1295010494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W MAIN ST",
            "address_2": "STE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549229",
            "telephone_number": "614-685-2058",
            "fax_number": "614-685-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W MAIN ST",
            "address_2": "STE A",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549229",
            "telephone_number": "614-685-2058",
            "fax_number": "614-685-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMER",
        "first_name": "DIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP12817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055677",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "STATLER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Allen Willard, MD
• Kelly Williams, PT
• Kyanna Wilmer
• Robert Dane Wilson, DPT, PT
• Bradley M Wolf, PA-C
• Joel Christopher Wood, MD
• Teresa Wright
• Randall R. Wroble, MD
• Xecare LLC
• Marcia A Yanik-Karnes, CRNA

• Pediatric Nurse Practitioner in New Albany, OH
• Providers in New Albany, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.

Verify at the official NPI Registry.