Individual provider Active NPI

Dianne Leach, NP

  • Physical Medicine & Rehabilitation Physician
  • Indianapolis, IN
National Provider Identifier
1346400942
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
71002649B Issued in IN
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901001778 IN Practitioner - Nurse Practitioner 2769786425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spine & Sports Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2017 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.

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

Verify at the official NPI Registry.