Diane Lynn Gerdeman

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.16931-NP Issued in OH

Practice address

7059 Orchard Centre Dr
Holland, OH 43528-7961

Phone

(567) 297-4117

Fax

(567) 297-4118

NPI assigned

Dec 2, 2006

Last updated

Mar 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1629146063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108",
            "telephone_number": "615-425-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7059 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287961",
            "telephone_number": "567-297-4117",
            "fax_number": "567-297-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDEMAN",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RX.16931-EX1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16931-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio L Garmon
• Kerry Lee Garretson, PH.D.
• Kecia Gay
• Mackensey Gebers, OT
• Vanessa Geiger
• Caroline Ghattas Ayoub, BDS, MSD
• Kristopher Gillespie, PHARMD, RPH
• Kashawnna Gilmer, CDCA
• Robert Lance Gilson, DC
• Monica Renee' Gist

• Family Nurse Practitioner in Holland, OH
• Providers in Holland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.