Diane M Szlachetka, NURSE PRACTITIONER

Primary specialty

Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X

License

166641 Issued in MA

Practice address

292 Mountain Ests
Hyde Park, VT 05655-4442

Phone

(802) 888-3639

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1306990346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 MOUNTAIN ESTS",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056554442",
            "telephone_number": "802-888-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 MOUNTAIN ESTS",
            "city": "HYDE PARK",
            "state": "VT",
            "postal_code": "056554442",
            "telephone_number": "802-888-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZLACHETKA",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MA",
            "license": "166641",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "VT",
            "license": "101.0084113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Northern New England
• Vicki A Rich, R.N., I.B.C.L.C.
• Angela Jilk Robens, ND
• Scott Salls
• Michelle Sawyer-Houle, M.S.

• All providers in Hyde Park, VT
• Critical Care Neonatal Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.