Active NPI
Diana L. Dally, N.P.
- Adult Health Nurse Practitioner
- Carrollton, OH
National Provider Identifier
1366452617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 188084
- Practice address
- 1020 Trump Rd
Carrollton, OH 44615 - Phone
- (330) 627-7055
- Fax
- (330) 627-7602
- NPI assigned
- Aug 9, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 188084 | OH | Primary |
Addresses
Primary practice location
1020 Trump Rd
Carrollton, OH 44615
Mailing address
1020 Trump Rd
P.O. Box 38
Carrollton, OH 44615
Phone (330) 627-7055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2468155 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 188084 | OH | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297555200000",
"number": "1366452617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 TRUMP RD",
"address_2": "P.O. BOX 38",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "44615",
"telephone_number": "330-627-7055",
"fax_number": "330-627-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 TRUMP RD",
"city": "CARROLLTON",
"state": "OH",
"postal_code": "44615",
"telephone_number": "330-627-7055",
"fax_number": "330-627-7602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALLY",
"first_name": "DIANA",
"middle_name": "L.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2011-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "188084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2468155",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.