Diana Lynn Kreismanis, MSN, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN245695 Issued in GA

Practice address

107 Jackson Ave
Thomaston, GA 30286-3481

Phone

(678) 544-1107

NPI assigned

Nov 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• C. Wayne Dodgen, MD, PC

  • Family Medicine Physician
  • Thomaston, GA
  • NPI 1104022425
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1346885381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JACKSON AVE",
            "address_2": "STE A",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863481",
            "telephone_number": "706-647-8101",
            "fax_number": "706-647-8543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JACKSON AVE",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863481",
            "telephone_number": "678-544-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREISMANIS",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN245695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F10190682",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyjha Jashay Kendall
• Tina M Kent, N.P.
• Darryl Hugh Knight, M.D.
• Mary Knight
• Stephanie H Kong, M.D.
• Thomas M Kretzmer, OD
• Jessica Lamme
• Sabrina M. Lancaster, FNP
• Crystal H Lee, LPN
• Sybil Lew, NP

• Nurse Practitioner in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.

Verify at the official NPI Registry.