Dianna Purdom Barker, APRN

Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Danville, KY

NPI 1316929664 · NPPES record last updated Nov 24, 2015

Key facts

NPI
1316929664
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Nurse Practitioner 363LX0001X
License
2986P (KY)
Practice address
333 S 3Rd St
Suite a
Danville, KY 40422-2016
Phone
(859) 236-7712
Fax
(859) 236-7246
NPI assigned
Nov 14, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2986PKYMDObstetrics & Gynecology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: barker.dianna.003.0170014@cfmc.meditab.direct-ci.com
  • Direct secure messaging: barker.dianna.004.0170014@cfmc.meditab.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 2986P KY Yes

Addresses

Primary practice location

333 S 3Rd St
Suite a
Danville, KY 40422-2016

Mailing address

333 S 3Rd St
Suite a
Danville, KY 40422-2016
Phone (859) 236-7712

Other identifiers

IdentifierTypeStateIssuer
2986POtherKYLICENSE
7545155OtherKYAETNA
0000000278302OtherBS
78009057MedicaidKY

Other names

  • Dianna M Hamblin Former name

Other providers in Danville, KY

All providers in Danville, KY · Obstetrics & Gynecology Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.