Dianna M Le, CPO, MSOP

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

347 W Obrien Dr Ste 1
Hagatna, GU 96910-5050

Phone

(671) 682-0140

Fax

(671) 969-2726

NPI assigned

Nov 7, 2019

Last updated

Mar 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aedificare, LLC

  dba Agility Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Hagatna, GU
  • NPI 1922699156
  NPD Authorized official

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1376188920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1733",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969321733",
            "telephone_number": "671-682-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W OBRIEN DR STE 1",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969105050",
            "telephone_number": "671-682-0140",
            "fax_number": "671-969-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Punahou St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261027",
            "country_code": "US",
            "telephone_number": "671-682-0140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "DIANNA",
        "middle_name": "M",
        "credential": "CPO, MSOP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dianna.le@shrinenet.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Pediatric Orthotic and Prosthetic Services - Honolulu, LLC",
            "address_1": "1310 Punahou St",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968261027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dle@agilitygu.com",
            "affiliation": "N",
            "endpointDescription": "Emailk",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "347 W OBrien Dr Ste 1",
            "city": "Hagatna",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969105050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey David Ives
• Jeffrey C. Johnson, D.D.S.
• Ku in Kang
• Backhabwha Kim, DDS
• Gabrielle Kimura Lagutang, PT, DPT
• Kunsun Lee
• Doris LG Leon Guerrero, M.S.W.M.P.H. I.M.F.T
• LG&H Internal Medicine Clinic
• Tricia Atoigue Lizama, MSW
• Suzanne Dela Rosa Lobaton, DNP, APRN, FNP-BC

• Prosthetist in Hagatna, GU
• Providers in Hagatna, GU by specialty
• Prosthetist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.