Active NPI
Diane Elizabeth Hastings, P.A.-C, ED.D.
- Medical Physician Assistant
- Rockville, MD
National Provider Identifier
1487913653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C01417
- Practice address
- 40 W Gude Dr Ste 120
Rockville, MD 20850-1191 - Phone
- (301) 309-6765
- Fax
- (301) 309-2230
- NPI assigned
- May 9, 2012
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C01417 | MD | Primary |
Addresses
Primary practice location
40 W Gude Dr Ste 120
Rockville, MD 20850-1191
Mailing address
40 W Gude Dr Ste 120
Rockville, MD 20850-1191
Phone (301) 309-6765
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 |
|---|---|---|---|
| C01417 | MD | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1487913653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 W GUDE DR STE 120",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501191",
"telephone_number": "301-309-6765",
"fax_number": "301-309-2230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 W GUDE DR STE 120",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501191",
"telephone_number": "301-309-6765",
"fax_number": "301-309-2230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASTINGS",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "P.A.-C, ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C01417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.