Active NPI
Diane Larlee Wahlers, M.S.W.
- Case Manager/Care Coordinator
- Athens, GA
National Provider Identifier
1295896777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 151 Rivercliff Dr
Athens, GA 30607-2052 - Phone
- (706) 549-7199
- Fax
- (706) 549-7199
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
151 Rivercliff Dr
Athens, GA 30607-2052
Mailing address
151 Rivercliff Dr
Athens, GA 30607-2052
Phone (706) 549-7199
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295896777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 RIVERCLIFF DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306072052",
"telephone_number": "706-549-7199",
"fax_number": "706-549-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 RIVERCLIFF DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306072052",
"telephone_number": "706-549-7199",
"fax_number": "706-549-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAHLERS",
"first_name": "DIANE",
"middle_name": "LARLEE",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
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.