Cassandra Lyn Diebolt, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

28106624A Issued in IN

Practice address

5165 McCarty LN
Lafayette, IN 47905-8764

Phone

(765) 448-8000

NPI assigned

Aug 22, 2022

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1609595917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 W MILKHOUSE RD",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469238326",
            "telephone_number": "765-490-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 MCCARTY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479058764",
            "telephone_number": "765-448-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLT",
        "first_name": "CASSANDRA",
        "middle_name": "LYN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28106624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Rene Dexter, FNP-C
• Mandeep Dhami
• Tajinder Singh Dhesi, MD
• Diamond Medical Group
• Brendy Diaz
• Vicki Ann Diehl, PT
• Different Spectrums Corp
• Elizabeth J Dill
• Francis X Dillon, MD
• Gary P Dillon, MD

• Emergency Registered Nurse in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Emergency Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.