Individual provider Active NPI

Diane Labban, F.N.P

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1629390778
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3516 Issued in AZ
Practice address
4545 E Chandler Blvd Ste 308
#308
Phoenix, AZ 85048-7646
Phone
(480) 893-2100
NPI assigned
Feb 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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 AP3516 AZ Primary

Addresses

Primary practice location

4545 E Chandler Blvd Ste 308
#308
Phoenix, AZ 85048-7646

Mailing address

4545 E Chandler Blvd Ste 308
#308
Phoenix, AZ 85048-7646
Phone (480) 893-2100

Other names 1

  • Mrs. Diane Laban Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220510002018 AZ Practitioner - Nurse Practitioner 5991182065 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Apr 18, 2022 Accepting new patients
Arizona State University Past Accepting new patients
Arizona State University Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

1618 E Thomas Rd
Phoenix, AZ 85016

1616 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 263-8307

Organizations & group practices 3

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": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1629390778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD STE 308",
            "address_2": "#308",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487646",
            "telephone_number": "480-893-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 E CHANDLER BLVD STE 308",
            "address_2": "#308",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487646",
            "telephone_number": "480-893-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABBAN",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "LABAN",
            "prefix": "MRS.",
            "credential": "F.N.P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.