Active NPI
Diana Pemberton
- Case Management Registered Nurse
- Plano, TX
National Provider Identifier
1477032571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 650434
- Practice address
- 1255 W 15TH St Ste 1025
Plano, TX 75075-7253 - Phone
- (972) 673-0404
- Fax
- (469) 626-9670
- NPI assigned
- Aug 9, 2018
- 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 |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 650434 | TX | Primary |
Addresses
Primary practice location
1255 W 15TH St Ste 1025
Plano, TX 75075-7253
Mailing address
165 Touchstone Rd
Wylie, TX 75098
Phone (214) 738-8560
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
| License | State | Type | Specialty |
|---|---|---|---|
| 650434 | TX | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Childrens Homecare LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Stafford, TX
- NPI 1487634739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1477032571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 TOUCHSTONE RD",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "214-738-8560",
"fax_number": "469-626-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W 15TH ST STE 1025",
"city": "PLANO",
"state": "TX",
"postal_code": "750757253",
"telephone_number": "972-673-0404",
"fax_number": "469-626-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEMBERTON",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "TX",
"license": "650434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.