Individual provider Active NPI

Diane Duvall Warner, MD

  • Neonatal-Perinatal Medicine Physician
  • Bozeman, MT
National Provider Identifier
1497835482
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
70289 Issued in MT
Practice address
905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone
(406) 414-5150
Fax
(406) 414-5155
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X M13616 ID
Neonatal-Perinatal Medicine Physician 2080N0001X 70289 MT Primary

Addresses

Primary practice location

905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903

Mailing address

905 Highland Blvd Ste 4500
Bozeman, MT 59715-6903
Phone (406) 414-5150

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5185

Other practice location 2

310 Sunnyview Ln
Kalispell, MT 59901-3129
Phone (064) 751-5391

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dwarner12989516@direct.sanfordhealth.org Direct
Direct Messaging Address Krmcmedicalrecords@krhdirect.org Kalispell Regional Medical Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190321003110 MT Practitioner - Pediatric MedicinePractitioner - Other (Physician) 3779867155 Reassigns benefits to 1 organization
I20231024004192 NC Practitioner - Pediatric Medicine 3779867155 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M13616IDMDNeonatal-Perinatal Medicine Physician
70289MTMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Nov 6, 2023 Accepting new patients
Kalispell Regional Medical Center, Inc CurrentSince Dec 30, 2022 Accepting new patients
Kalispell Regional Medical Center, Inc. CurrentSince Dec 30, 2022 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Nov 6, 2023 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Kalispell Regional Medical Center Inc Current Accepting new patients

Locations

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: dwarner2122417@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1497835482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD STE 4500",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156903",
            "telephone_number": "406-414-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIGHLAND BLVD STE 4500",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156903",
            "telephone_number": "406-414-5150",
            "fax_number": "406-414-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5185",
            "fax_number": "208-625-5728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Sunnyview Ln",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013129",
            "country_code": "US",
            "telephone_number": "064-751-5391",
            "fax_number": "064-751-2988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "DIANE",
        "middle_name": "DUVALL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "ID",
            "license": "M13616",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "MT",
            "license": "70289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dwarner12989516@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 Highland Blvd Ste 4500",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center Inc",
            "address_1": "310 Sunnyview Ln",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.