Individual provider Active NPI

Diane Jean Omtvedt, N.P. AND L.AC.

  • Nurse Practitioner
  • Eau Claire, WI
National Provider Identifier
1497704100
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
671-033 Issued in WI
Practice address
1227 Menomonie St
C
Eau Claire, WI 54703-5996
Phone
(715) 836-9696
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 67733-030 WI
Acupuncturist 171100000X 233-055 WI
Nurse Practitioner 363L00000X 671-033 WI Primary

Addresses

Primary practice location

1227 Menomonie St
C
Eau Claire, WI 54703-5996

Mailing address

5310 Shorewood Dr
Eau Claire, WI 54703-9670
Phone (715) 832-1888

Other names 1

  • Ms. Diane Jean Omtvedt Professional name

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
67733-030WIMDRegistered Nurse
233-055WIMDAcupuncturist
671-033WIMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497704100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 SHOREWOOD DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039670",
            "telephone_number": "715-832-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 MENOMONIE ST",
            "address_2": "C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547035996",
            "telephone_number": "715-836-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMTVEDT",
        "first_name": "DIANE",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "N.P. AND L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "67733-030",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "233-055",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "671-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "OMTVEDT",
            "middle_name": "JEAN",
            "prefix": "MS.",
            "credential": "N.P. AND L.AC.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.