Diane Rose Hardee, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1216576 Issued in MN

Practice address

460 Sout Eliot Ave.
Rush City, MN 55069

Phone

(320) 358-0987

Fax

(320) 358-3422

NPI assigned

Aug 31, 2017

Last updated

Aug 31, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Diane Rose Antonyshyn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All About Caring Home Care LLC

  • In Home Supportive Care Agency
  • Rush City, MN
  • NPI 1134307119
  NPD (past)

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1326566175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "address_2": "460 SOUTH ELIOT AVE.",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-0987",
            "fax_number": "320-358-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SOUT ELIOT AVE.",
            "city": "RUSH CITY",
            "state": "MN",
            "postal_code": "55069",
            "telephone_number": "320-358-0987",
            "fax_number": "320-358-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "DIANE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "1216576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "ANTONYSHYN",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gretchen Ann Erickson, REGISTERED NURSE
• Estates at Rush City LLC
• Fairview Clinics (Fairview Clinics-Rush City)
• William G Gibson IV, FNP-C
• Kaitlyn Marie Grell I, LPTA
• Delores M Kaiserlik, RN
• William H E Kieper, DDS
• April Marie Klar, LPN
• Donna M Neumann, RN
• Tuyen Van Nguyen, D.D.S.

• Registered Nurse in Rush City, MN
• Providers in Rush City, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.