Individual provider Active NPI

Diane Katherine Trevena, ARNP

  • Adult Health Nurse Practitioner
  • Hollywood, FL
National Provider Identifier
1386845741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ARNP2502892 Issued in FL
Practice address
3990 Sheridan St
Suite 104
Hollywood, FL 33021-3661
Phone
(954) 986-0390
Fax
(954) 986-0091
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP2502892 FL Primary

Addresses

Primary practice location

3990 Sheridan St
Suite 104
Hollywood, FL 33021-3661

Mailing address

1065 NW 50TH Dr
Pompano Beach, FL 33064-8631
Phone (954) 986-0390

Other identifiers 1

IdentifierTypeStateIssuer
ARNP2502892OtherFLSTATE

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

State licenses

LicenseStateTypeSpecialty
ARNP2502892FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Neurospine, LLC. PastSince Aug 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dianetrevena@pcof.allscriptsdirect.net

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386845741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NW 50TH DR",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330648631",
            "telephone_number": "954-986-0390",
            "fax_number": "954-986-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 SHERIDAN ST",
            "address_2": "SUITE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213661",
            "telephone_number": "954-986-0390",
            "fax_number": "954-986-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVENA",
        "first_name": "DIANE",
        "middle_name": "KATHERINE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP2502892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "ARNP2502892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.