Individual provider Active NPI

Diana Perrel, RN, CPNP

  • Pediatric Nurse Practitioner
  • Dalton, GA
National Provider Identifier
1528201399
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN202321 Issued in GA
Practice address
1933 Shields Rd
Dalton, GA 30720-5069
Phone
(706) 278-6628
Fax
(706) 278-6650
NPI assigned
Apr 9, 2009
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN202321 GA Primary

Addresses

Primary practice location

1933 Shields Rd
Dalton, GA 30720-5069

Mailing address

1933 Shields Rd
Dalton, GA 30720-5069
Phone (706) 278-6628

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
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN202321GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Health Alliance PC Past Accepting new patients
Peds Care P.C. Past Accepting new patients
Lifespring Community Health Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1528201399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 SHIELDS RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205069",
            "telephone_number": "706-278-6628",
            "fax_number": "706-278-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 SHIELDS RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307205069",
            "telephone_number": "706-278-6628",
            "fax_number": "706-278-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERREL",
        "first_name": "DIANA",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN202321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.