Active NPI
Diane Aline Thews, NP
- Family Nurse Practitioner
- Valparaiso, IN
National Provider Identifier
1467648360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002126A
- Practice address
- 2400 Morthland Dr
Valparaiso, IN 46383-8329 - Phone
- (800) 635-5516
- NPI assigned
- Sep 25, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002126A | IN | Primary |
Addresses
Primary practice location
2400 Morthland Dr
Valparaiso, IN 46383-8329
Mailing address
3355 Douglas Rd
Suite 300
South Bend, IN 46635-1781
Phone (574) 647-1069
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71002126A | Other | IN | LICENSE # |
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 |
|---|---|---|---|
| 71002126A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1467648360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3355 DOUGLAS RD",
"address_2": "SUITE 300",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351781",
"telephone_number": "574-647-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MORTHLAND DR",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463838329",
"telephone_number": "800-635-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEWS",
"first_name": "DIANE",
"middle_name": "ALINE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-25",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002126A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "71002126A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
- The Kratz Group Inc (Northwest Indiana Hand and Physical Therapy)
- The Kratz Group Inc (Midwest Indiana Hand and Physical Therapy)
- The Lutheran University Association Inc. (Valparaiso University)
- The Rehabilitation Care Associates Inc.
- The Woman's Wellness Center, P.C.
- Victoria Lynn Thibodeaux
- Sivakumar Thirugnana, DPT
- Lynn Thoma, PHARMD
- Giselle L. Thomalla, PH,D.
- John Mark Thomas, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.