Diane Pelan-Johnson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

110604 Issued in NE

Practice address

750 E. 29TH St.
Fremont, NE 68025

Phone

(402) 753-2900

Fax

(402) 753-2926

NPI assigned

Oct 18, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396826947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E. 29TH ST.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252312",
            "telephone_number": "402-753-2900",
            "fax_number": "402-753-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E. 29TH ST.",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "68025",
            "telephone_number": "402-753-2900",
            "fax_number": "402-753-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAN-JOHNSON",
        "first_name": "DIANE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47081505113",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawni Pavlik
• Alexis Pearson
• Alyssa Pearson, OD
• Pediatric Partners L.L.C.
• Pediatric Partners L.L.C.
• Susan Kay Pena, OTR
• Heath Penny, CRNA
• Tina Pensyl
• Laura Perez Lewis
• Benjamin Lee Peters, DDS

• Family Nurse Practitioner in Fremont, NE
• Providers in Fremont, NE by specialty
• Family Nurse Practitioner in Nebraska

• 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.