Individual provider Active NPI

Diane A Shiesley, RN BSN MS FNP

  • Medical-Surgical Registered Nurse
  • Tucson, AZ
National Provider Identifier
1396044954
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
RN107739 Issued in AZ
Practice address
2330 S Window Rock PL
Tucson, AZ 85710-6120
Phone
(520) 256-1781
NPI assigned
Mar 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN107739 AZ Primary

Addresses

Primary practice location

2330 S Window Rock PL
Tucson, AZ 85710-6120

Mailing address

2330 S Window Rock PL
Tucson, AZ 85710-6120
Phone (520) 256-1781

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN107739AZMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1396044954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 S WINDOW ROCK PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106120",
            "telephone_number": "520-256-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S WINDOW ROCK PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857106120",
            "telephone_number": "520-256-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIESLEY",
        "first_name": "DIANE",
        "middle_name": "A",
        "credential": "RN BSN MS FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "AZ",
            "license": "RN107739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.