Active NPI
Diana Leet, RN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1568055705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95186101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95186101 | CA | MD | Registered Nurse |
| 140296 | CT | MD | Medical-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.