Individual provider Active NPI

Diana M Harper, MSN, APRN, CCRN

  • Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1639161219
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN2400 Issued in SC
Practice address
100 Healthy Way Ste 1120
Anderson, SC 29621-7915
Phone
(864) 512-4530
Fax
(864) 512-4540
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN2400 SC Primary

Addresses

Primary practice location

100 Healthy Way Ste 1120
Anderson, SC 29621-7915

Mailing address

PO Box 100174
Columbia, SC 29202-3174
Phone (864) 224-2465

Other practice location 1

100 Healthy Way
Suite 1250
Anderson, SC 29621-7915
Phone (864) 224-2465

Other identifiers 2

IdentifierTypeStateIssuer
GP0975MedicaidSC
NP0201MedicaidSC

Other names 1

  • Diana Mitchell Harper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APN2400SCMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dharper10758@direct.anmedhealth.net

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1639161219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100174",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292023174",
            "telephone_number": "864-224-2465",
            "fax_number": "864-224-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTHY WAY STE 1120",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296217915",
            "telephone_number": "864-512-4530",
            "fax_number": "864-512-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Healthy Way",
            "address_2": "Suite 1250",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296217915",
            "country_code": "US",
            "telephone_number": "864-224-2465",
            "fax_number": "864-224-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARPER",
        "first_name": "DIANA",
        "middle_name": "M",
        "credential": "MSN, APRN, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "APN2400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0975",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0201",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "HARPER",
            "middle_name": "MITCHELL",
            "credential": "MSN, APRN, CCRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.