Active NPI
Diana Marie Sutherland, NP
- Gerontology Nurse Practitioner
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- CNP.022110
- Practice address
- 234 Goodman St
Cincinnati, OH 45219-2364 - Phone
- (513) 475-8500
- Fax
- (513) 584-4281
- NPI assigned
- Mar 10, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN185111 | MA | |
| Gerontology Nurse Practitioner | 363LG0600X | CNP.022110 | OH | Primary |
Addresses
Primary practice location
234 Goodman St
Cincinnati, OH 45219-2364
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 245-3600
Other practice location 1
2014 Washington St
Newton, MA 02462-1607
Phone (617) 243-6000 ext. 1235
Other names 1
- Diana Marie Grillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20180129001402 | OH | Practitioner - Nurse Practitioner | 6103108550 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000
Hospital & facility affiliations
- University of Cincinnati Medical Center, LLC
- West Chester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82 of 100
- Quality
- 65.97
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP.022110 | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Cincinnati Physicians Company, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777
3151 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 584-3494
3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281
2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523
Interoperability endpoints
- dsutherland221200@direct.uchealth.com
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.
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
Nurse Practitioner, OH
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1033154026
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515715200000",
"number": "1346633765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636256",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636256",
"telephone_number": "513-245-3600",
"fax_number": "513-245-3672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 GOODMAN ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192364",
"telephone_number": "513-475-8500",
"fax_number": "513-584-4281"
}
],
"practiceLocations": [
{
"address_1": "2014 Washington St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024621607",
"country_code": "US",
"telephone_number": "617-243-6000 x1235",
"fax_number": "617-219-1244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUTHERLAND",
"first_name": "DIANA",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2018-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN185111",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "CNP.022110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "GRILLO",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.