Diane Marie Kelchner, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

DF002745 Issued in PA

Practice address

1084 Route 315
Wilkes Barre, PA 18702

Phone

(570) 704-4118

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dianekelchnerefda@rhc.medentdirect.com

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.

• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Wilkes-Barre, PA
  • NPI 1437351640
  NPD (past)
• Rural Health Corporation of Northeastern Pennsylvania

  • Federally Qualified Health Center (FQHC)
  • Nuremberg, PA
  • NPI 1871695148
  NPD (past)

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1609515188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 CEDAR HEAD RD",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493518",
            "telephone_number": "570-926-4145",
            "fax_number": "570-463-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 ROUTE 315",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "18702",
            "telephone_number": "570-704-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Pineapple Street",
            "address_purpose": "LOCATION",
            "city": "Nuremberg",
            "state": "PA",
            "postal_code": "18241",
            "country_code": "US",
            "telephone_number": "570-704-4118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELCHNER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "PA",
            "license": "DF002745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Kristine Kearney, PA-C
• James Thomas Kearney, MD
• Elizabeth Patricia Keating, RPH
• Susan Ann Keatley, MA
• Renae Ann Keiper, PA-C
• Cheryl Kellar, LCSW
• Stephanie Renee Kelleher, D.O
• Nicholas Kelley, D.O
• Allison Kelliher
• Carly Kelly

• Dental Assistant in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Dental Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.