Individual provider Active NPI

Diane K Melven, LPN

  • Licensed Practical Nurse
  • Attica, NY
National Provider Identifier
1497049142
Registry record updated May 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
255672-1 Issued in NY
Practice address
68 North St
Attica, NY 14011-1035
Phone
(716) 474-1422
NPI assigned
May 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 255672-1 NY Primary

Addresses

Primary practice location

68 North St
Attica, NY 14011-1035

Mailing address

68 North St
Attica, NY 14011-1035
Phone (716) 474-1422

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

LicenseStateTypeSpecialty
255672-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1306627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306627200000",
    "number": "1497049142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 NORTH ST",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111035",
            "telephone_number": "716-474-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 NORTH ST",
            "city": "ATTICA",
            "state": "NY",
            "postal_code": "140111035",
            "telephone_number": "716-474-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELVEN",
        "first_name": "DIANE",
        "middle_name": "K",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-29",
        "last_updated": "2011-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "255672-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Attica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; 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.