Individual provider Active NPI

Diana Pfersick, RN

  • School Registered Nurse
  • Ontario Center, NY
National Provider Identifier
1437563483
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
284954 Issued in NY
Practice address
6200 Ontario Center Rd
Box 155
Ontario Center, NY 14520-0155
Phone
(315) 524-1064
Fax
(315) 524-1079
NPI assigned
Jun 18, 2014
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 284954 NY Primary

Addresses

Primary practice location

6200 Ontario Center Rd
Box 155
Ontario Center, NY 14520-0155

Mailing address

6200 Ontario Center Rd
Box 155
Ontario Center, NY 14520
Phone (315) 524-1064

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
284954NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1437563483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 ONTARIO CENTER RD",
            "address_2": "BOX 155",
            "city": "ONTARIO CENTER",
            "state": "NY",
            "postal_code": "14520",
            "telephone_number": "315-524-1064",
            "fax_number": "315-524-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 ONTARIO CENTER RD",
            "address_2": "BOX 155",
            "city": "ONTARIO CENTER",
            "state": "NY",
            "postal_code": "145200155",
            "telephone_number": "315-524-1064",
            "fax_number": "315-524-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFERSICK",
        "first_name": "DIANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "284954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.