Eileen Van Diest, MD, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

EILEEN VAN DIEST, MD, PA

Practice address

179 Enterprise Pkwy Ste 102
Boerne, TX 78006-8634

Phone

(830) 219-4162

Fax

(830) 310-7974

NPI assigned

Jul 20, 2021

Organization subpart

No

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

Authorized official

Name

Eileen Van Diest, MD

Title

Physician

Phone

(830) 219-4162

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Falon Laree Trammell Towry, FNP-C

  • Family Nurse Practitioner
  • Bulverde, TX
  • NPI 1194491449
  NPD
• Katelin Manley, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Bulverde, TX
  • NPI 1750181475
  NPD (past)
• Amanda Woods, FNP-C

  • Family Nurse Practitioner
  • Bulverde, TX
  • NPI 1588270623
  NPD (past)

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1487227385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 ENTERPRISE PKWY STE 102",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068634",
            "telephone_number": "830-219-4162",
            "fax_number": "830-310-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 ENTERPRISE PKWY STE 102",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068634",
            "telephone_number": "830-219-4162",
            "fax_number": "830-310-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EILEEN VAN DIEST, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "VAN DIEST",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "830-219-4162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Ebner
• Jennifer Lauren Eck, MD
• Edat, PLLC
• Lauryn Taylor Edens
• Aaron Matthew Edmiston, LPC
• Salah El-Bash, MD
• Michael Elashy, LVN
• Eldean Cardiovascular PLLC
• Elims Ventures, LLC
• Eliteproviders PLLC

• Endocrinology, Diabetes & Metabolism Physician in Boerne, TX
• Providers in Boerne, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.