Active NPI
Diane B Terranova, APN
- Nurse Practitioner
- Newark, DE
National Provider Identifier
1295834083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LH-0000164
- Practice address
- 4735 Ogletown Stanton Rd
Suite 2123 Map2
Newark, DE 19713-2072 - Phone
- (302) 286-1800
- Fax
- (302) 286-0241
- NPI assigned
- Sep 21, 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 | LH-0000164 | DE | Primary |
Addresses
Primary practice location
4735 Ogletown Stanton Rd
Suite 2123 Map2
Newark, DE 19713-2072
Mailing address
4735 Ogletown Stanton Rd
Suite 2123 Map2
Newark, DE 19713-2072
Phone (302) 286-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000016559 | Medicaid | DE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH-0000164 | DE | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295834083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "SUITE 2123 MAP2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-286-1800",
"fax_number": "302-286-0241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4735 OGLETOWN STANTON RD",
"address_2": "SUITE 2123 MAP2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132072",
"telephone_number": "302-286-1800",
"fax_number": "302-286-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRANOVA",
"first_name": "DIANE",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LH-0000164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000016559",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.