Diana Kailburn, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10 287297 Issued in NY

Practice address

17 Norton St Apt 2
Honeoye Falls, NY 14472-1070

Phone

(585) 233-7413

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1437522562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 NORTON ST APT 2",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721070",
            "telephone_number": "585-233-7413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 NORTON ST APT 2",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721070",
            "telephone_number": "585-233-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILBURN",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10 287297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariesa H Howe, M.D.
• Suzanne C Ivancic, LCSW
• Nadette Jacob, MD
• Carly Rae Jelsma, LMSW
• Alyssa Marie Jennings, FNP
• Brian D Kaufman, D.C.
• Jack David Kerns IX, M.D.
• Sandra E.B. Kerns, RPA-C
• Barry T Kissack, O.D.
• Kendra Grace Knebel

• Licensed Practical Nurse in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.