Active NPI
Diane Y. John, ARNP, FNP-BC
- Family Nurse Practitioner
- Tamarac, FL
National Provider Identifier
1336496751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3112112
- Practice address
- 4802 W Commercial Blvd
Tamarac, FL 33319-2879 - Phone
- (954) 668-0287
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3112112 | FL | Primary |
Addresses
Primary practice location
4802 W Commercial Blvd
Tamarac, FL 33319-2879
Mailing address
4802 W Commercial Blvd
Tamarac, FL 33319-2879
Phone (954) 668-0287
Other practice location 1
9540 Hudson St
Miramar, FL 33025-4208
Phone (954) 632-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3112112 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Practitioners Healthcare Network | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Care Agency
- Miramar, FL
- NPI 1669925590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1336496751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 W COMMERCIAL BLVD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192879",
"telephone_number": "954-668-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 W COMMERCIAL BLVD",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192879",
"telephone_number": "954-668-0287"
}
],
"practiceLocations": [
{
"address_1": "9540 Hudson St",
"address_purpose": "LOCATION",
"city": "Miramar",
"state": "FL",
"postal_code": "330254208",
"country_code": "US",
"telephone_number": "954-632-5750",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN",
"first_name": "DIANE",
"middle_name": "Y.",
"name_prefix": "Mrs.",
"credential": "ARNP, FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3112112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.