Individual provider Active NPI

Diana Leet, RN

  • Registered Nurse
  • San Diego, CA
National Provider Identifier
1568055705
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95186101 Issued in CA
Practice address
5644 Mission Center Rd # 201
San Diego, CA 92108-4328
Phone
(619) 298-3655
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95186101 CA Primary
Medical-Surgical Registered Nurse 163WM0705X 140296 CT

Addresses

Primary practice location

5644 Mission Center Rd # 201
San Diego, CA 92108-4328

Mailing address

8889 Caminito Plaza Centro Unit 7420
San Diego, CA 92122-1017
Phone (203) 506-1993

Other practice location 1

5644 Mission Center Rd
San Diego, CA 92108-4328
Phone (619) 298-3655

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95186101CAMDRegistered Nurse
140296CTMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1568055705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 CAMINITO PLAZA CENTRO UNIT 7420",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221017",
            "telephone_number": "203-506-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 MISSION CENTER RD # 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084328",
            "telephone_number": "619-298-3655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5644 Mission Center Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084328",
            "country_code": "US",
            "telephone_number": "619-298-3655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEET",
        "first_name": "DIANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95186101",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CT",
            "license": "140296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.