Active NPI
Dianna Jean Kelley, RN BSN
- Community Health Registered Nurse
- Whiteriver, AZ
National Provider Identifier
1306180617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN120024
- Practice address
- 200 W Hospital Dr
Whiteriver, AZ 85941-0860 - Phone
- (928) 338-4911
- NPI assigned
- Nov 27, 2012
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN120024 | AZ | Primary |
Addresses
Primary practice location
200 W Hospital Dr
Whiteriver, AZ 85941-0860
Mailing address
PO Box 860
Whiteriver, AZ 85941-0860
Phone (928) 338-4911
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN120024 | AZ | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1306180617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859410860",
"telephone_number": "928-338-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W HOSPITAL DR",
"city": "WHITERIVER",
"state": "AZ",
"postal_code": "859410860",
"telephone_number": "928-338-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "DIANNA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "RN BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "AZ",
"license": "RN120024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteriver, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.