Diane Kay Elizondo

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5202007494 Issued in MI

Practice address

806 Williams St
Fenton, MI 48430-2926

Phone

(810) 625-6677

NPI assigned

Jul 17, 2025

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": "1752710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1336031905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WILLIAMS ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302926",
            "telephone_number": "810-625-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WILLIAMS ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302926",
            "telephone_number": "810-625-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "DIANE",
        "middle_name": "KAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202007494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebb & Flow ABA Therapy LLC
• Jodie Gail Eckleberry-Hunt, PH.D.
• Education Works, Inc.
• Education Works, Inc.
• Edward J. Lis, Jr, DO, PLLC
• Kathleen Marie Ellis, LPTA
• Angela Margaret Elrod
• Laura J Enos, LMSW
• Gloria Stephanie Enriquez, O.D.
• Erin Ferme MSW

• Occupational Therapy Assistant in Fenton, MI
• Providers in Fenton, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.