Active NPI
Diane Carol Robinson, RN, FNP
- Community Health Registered Nurse
- Roseburg, OR
National Provider Identifier
1578980918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 090003344
- Practice address
- 4285 Stella St
Roseburg, OR 97471-4771 - Phone
- (541) 868-6014
- NPI assigned
- Mar 24, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 090003344 | OR | Primary |
| Wound Care Registered Nurse | 163WW0000X | 090003344 | OR | |
| Family Nurse Practitioner | 363LF0000X | 201809760NP | OR |
Addresses
Primary practice location
4285 Stella St
Roseburg, OR 97471-4771
Mailing address
4285 Stella St
Roseburg, OR 97471-4771
Phone (541) 868-6014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163WC1500X | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090003344 | OR | MD | Community Health Registered Nurse |
| 201809760NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 1
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": "1395619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1578980918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4285 STELLA ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974714771",
"telephone_number": "541-868-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4285 STELLA ST",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974714771",
"telephone_number": "541-868-6014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DIANE",
"middle_name": "CAROL",
"credential": "RN, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-24",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "OR",
"license": "090003344",
"primary": true
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "OR",
"license": "090003344",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201809760NP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163WC1500X",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.