Diane J. Smyk

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN070999L Issued in PA

Practice address

1288 Valley Forge Rd
Unit 69
Phoenixville, PA 19460-2687

Phone

(610) 933-9483

Fax

(610) 933-4080

NPI assigned

Sep 15, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1326371972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PINE LN",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195181314",
            "telephone_number": "610-385-3864",
            "fax_number": "610-933-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 VALLEY FORGE RD",
            "address_2": "UNIT 69",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194602687",
            "telephone_number": "610-933-9483",
            "fax_number": "610-933-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYK",
        "first_name": "DIANE",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN070999L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Thomas Smith Jr., PH.D.
• Peter D Smith, MD
• Rex Smith, RPH
• Tanya L Smith, PA-C
• Deirdre Theresa Smolizza, M.A. CCC-SLP
• Jeffrey Scott Snyder, DC
• Jennifer Joy Sobus, FNP-C
• Heather Jamie Soled, DO
• David H Solis V, DO
• Wendy Heymann Solis, PA-C

• Licensed Practical Nurse in Phoenixville, PA
• Providers in Phoenixville, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.