Dianne Freeman-Moore, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

71002438A Issued in IN

Practice address

819 Woodmere Dr
Lafayette, IN 47905-5604

Phone

(765) 448-4646

Fax

(765) 448-4791

NPI assigned

Jul 10, 2007

Last updated

Apr 1, 2009By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Bangura Medical Services,PC

  • Internal Medicine Physician
  • Lafayette, IN
  • NPI 1902814049
  NPD (past)
• Riggs Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lafayette, IN
  • NPI 1386660900
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1376741462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 WOODMERE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055604",
            "telephone_number": "765-448-4646",
            "fax_number": "765-448-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 WOODMERE DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479055604",
            "telephone_number": "765-448-4646",
            "fax_number": "765-448-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-MOORE",
        "first_name": "DIANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71002438A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200865610",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "71002438A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Teresa Francisco
• Sierra Frazer, RBT
• Amber Elish Frazier, RBT
• Joseph A. Frederick, MD
• Freedom Counseling, LLC.
• Amanda Freeman, RBT
• Cortlandt Grant Freeman, LMHC
• Gregory Mark French, M.D.
• Leslie Michelle Frere, M.A., LMHC
• Taylor Fristoe, MSW, LSW

• Women's Health Nurse Practitioner in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Women's Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.