Diane Lynn Taylor

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704219139 Issued in MI

Practice address

1701 South Blvd E
Site 390
Rochester Hills, MI 48307-6122

Phone

(248) 293-0055

Fax

(248) 293-3338

NPI assigned

Sep 1, 2010

Last updated

Feb 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Daine Lynn Beane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1548577315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60746 MIRIAM DR",
            "city": "WASHINGTON TWP",
            "state": "MI",
            "postal_code": "48094",
            "telephone_number": "586-337-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SITE 390",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-293-0055",
            "fax_number": "248-293-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704219139",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MI",
            "license": "4704219139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAINE",
            "last_name": "BEANE",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rahila Tanvir
• Tara P Shah ,MD , PC
• Jordan Riley Tasker, LLPC
• Sandra Tayar
• Ghiath Tayeb, MD
• Sarah S Taylor, O.D.
• Stephanie Taylor, MA, LLPC, NCC
• Tbi Residential Rehab, LLC
• Nancy Tedder, LLPC
• Diane Teenier

• Acute Care Nurse Practitioner in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.