Active NPI
Dianne Leach, NP
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
National Provider Identifier
1346400942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 71002649B
- Practice address
- 3520 Guion Road
Ste 303
Indianapolis, IN 46222-1692 - Phone
- (317) 920-3220
- Fax
- (317) 920-3221
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 71002649B | IN | Primary |
Addresses
Primary practice location
3520 Guion Road
Ste 303
Indianapolis, IN 46222-1692
Mailing address
3520 Guion Road
Ste 303
Indianapolis, IN 46222-1692
Phone (317) 920-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901001778 | IN | Practitioner - Nurse Practitioner | 2769786425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Spine & Sports Rehabilitation PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Major Hospital | Past | Accepting new patients |
Locations
3520 Guion Rd
Ste 303
Indianapolis, IN 46222
Phone (317) 920-3220
3850 Shore Dr
Ste 105
Indianapolis, IN 46254
Phone (317) 243-2888
3850 Shore Dr
Ste 305
Indianapolis, IN 46254
Phone (317) 298-3350
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Indianapolis, IN
- NPI 1346439239
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346400942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 GUION ROAD",
"address_2": "STE 303",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221692",
"telephone_number": "317-920-3220",
"fax_number": "317-920-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3520 GUION ROAD",
"address_2": "STE 303",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462221692",
"telephone_number": "317-920-3220",
"fax_number": "317-920-3221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "DIANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "71002649B",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.