Active NPI
Diana Viola Medina, ANP C
- Nurse Practitioner
- Orchard Park, NY
National Provider Identifier
1447243522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F303935-1
- Practice address
- 3775 Southwestern Blvd
Ste a
Orchard Park, NY 14127 - Phone
- (716) 667-1980
- Fax
- (716) 667-1982
- NPI assigned
- Aug 24, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F303935-1 | NY | Primary |
Addresses
Primary practice location
3775 Southwestern Blvd
Ste a
Orchard Park, NY 14127
Mailing address
3775 Southwestern Blvd
Ste a
Orchard Park, NY 14127
Phone (716) 667-1980
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147122CG | Other | NY | PREFERRED CARE |
| 000560866001 | Other | NY | BCBS |
| 00026761101 | Other | NY | UNIVERA |
| 9512629 | Other | NY | INDEPENDENT HEALTH |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303935-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1447243522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3775 SOUTHWESTERN BLVD",
"address_2": "STE A",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-667-1980",
"fax_number": "716-667-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3775 SOUTHWESTERN BLVD",
"address_2": "STE A",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-667-1980",
"fax_number": "716-667-1982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "DIANA",
"middle_name": "VIOLA",
"name_prefix": "Ms.",
"credential": "ANP C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F303935-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "147122CG",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000560866001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00026761101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "9512629",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.