Individual provider Active NPI

Diane Lee Gilliland, NP-C

  • Family Nurse Practitioner
  • Findlay, OH
National Provider Identifier
1629358593
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.12553-NP Issued in OH
Practice address
15840 Medical Dr S
Suite B
Findlay, OH 45840-7833
Phone
(419) 425-3780
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.12553-NP OH Primary

Addresses

Primary practice location

15840 Medical Dr S
Suite B
Findlay, OH 45840-7833

Mailing address

1733 Western Ave
Ste a
Findlay, OH 45840-1347
Phone (419) 423-2754

Other identifiers 1

IdentifierTypeStateIssuer
0053936MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111022000057 OH Practitioner - Nurse Practitioner 8921271735 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.12553-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Rioch, D.O., Inc. CurrentSince Dec 12, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1733 Western Ave
Ste A
Findlay, OH 45840
Phone (419) 423-2754

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1629358593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 WESTERN AVE",
            "address_2": "STE A",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401347",
            "telephone_number": "419-423-2754",
            "fax_number": "419-423-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 MEDICAL DR S",
            "address_2": "SUITE B",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458407833",
            "telephone_number": "419-425-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "DIANE",
        "middle_name": "LEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.12553-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0053936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

Verify at the official NPI Registry.