Individual provider Active NPI

Diane Palmer-Heller, CPM, LM

  • Midwife
  • Stroudsburg, PA
National Provider Identifier
1407279342
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
96120004 Issued in VA
Practice address
214 Huston Ave
Stroudsburg, PA 18360-2331
Phone
(570) 269-0238
Fax
(570) 369-4966
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 96120004 VA Primary

Addresses

Primary practice location

214 Huston Ave
Stroudsburg, PA 18360-2331

Mailing address

214 Huston Ave
Stroudsburg, PA 18360-2331
Phone (570) 269-0238

Other names 1

  • Ms. Dhyana Heller Professional name

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

State licenses

LicenseStateTypeSpecialty
96120004VAMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1407279342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 HUSTON AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602331",
            "telephone_number": "570-269-0238",
            "fax_number": "570-369-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HUSTON AVE",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183602331",
            "telephone_number": "570-269-0238",
            "fax_number": "570-369-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER-HELLER",
        "first_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "VA",
            "license": "96120004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHYANA",
            "last_name": "HELLER",
            "prefix": "MS.",
            "credential": "CPM, LM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.