Individual provider Active NPI

Louise M Diehl, CRNP

  • Adult Health Nurse Practitioner
  • Phillipsburg, NJ
National Provider Identifier
1619972353
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00018700 Issued in NJ
Practice address
101 Coventry Dr
Phillipsburg, NJ 08865-1900
Phone
(908) 213-8808
Fax
(908) 213-8898
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP008237 PA
Adult Health Nurse Practitioner 363LA2200X 26NJ00018700 NJ Primary

Addresses

Primary practice location

101 Coventry Dr
Phillipsburg, NJ 08865-1900

Mailing address

101 Coventry Dr
Phillipsburg, NJ 08865-1900
Phone (908) 213-8808

Other identifiers 1

IdentifierTypeStateIssuer
8978000MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070314000453 NJ Practitioner - Nurse Practitioner 2264461979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Coventry Dr
Phillipsburg, NJ 08865-1900
Phone (908) 213-8808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP008237PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CPR for Life & Health Care Consulting Inc. Adult Health CurrentSince Feb 21, 2006 Accepting new patients
Coventry Cardiology Associates Past Accepting new patients

Locations

210 Prospect Ave
Lowr
Phillipsburg, NJ 08865
Phone (908) 213-8808

600 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-8808

101 Coventry Dr
Phillipsburg, NJ 08865
Phone (908) 213-8808

Organizations & group practices 2

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1619972353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651900",
            "telephone_number": "908-213-8808",
            "fax_number": "908-213-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COVENTRY DR",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088651900",
            "telephone_number": "908-213-8808",
            "fax_number": "908-213-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "LOUISE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008237",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00018700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8978000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

Verify at the official NPI Registry.