Individual provider Active NPI

Diane Ruth Kuehnlenz, RN, APN, CCNS

  • Family Nurse Practitioner
  • Lady Lake, FL
National Provider Identifier
1649224585
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN9368172 Issued in FL
Practice address
8550 NE 138TH LN BLDG 800
Lady Lake, FL 32159
Phone
(352) 633-9858
Fax
(352) 633-9870
NPI assigned
May 22, 2006
Last updated
Jun 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9368172 FL Primary
Clinical Nurse Specialist 364S00000X 209004793 IL
Medical-Surgical Clinical Nurse Specialist 364SM0705X 209004793 IL

Addresses

Primary practice location

8550 NE 138TH LN BLDG 800
Lady Lake, FL 32159

Mailing address

18981 US Highway 441 Ste 121
Mount Dora, FL 32757-6735
Phone (352) 633-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9368172FLMDFamily Nurse Practitioner
209004793ILMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Medical Specialty LLC CurrentSince Jun 17, 2019 Accepting new patients

Locations

8550 NE 138th Ln
Ste 500
Lady Lake, FL 32159
Phone (352) 633-9858

18981 US Highway 441
Mount Dora, FL 32757

1576 Bella Cruz Dr
The Villages, FL 32159
Phone (224) 610-9552

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1649224585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18981 US HIGHWAY 441 STE 121",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576735",
            "telephone_number": "352-633-9858",
            "fax_number": "352-633-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 NE 138TH LN BLDG 800",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "32159",
            "telephone_number": "352-633-9858",
            "fax_number": "352-633-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHNLENZ",
        "first_name": "DIANE",
        "middle_name": "RUTH",
        "credential": "RN, APN, CCNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9368172",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209004793",
            "primary": false
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "IL",
            "license": "209004793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lady Lake, FL

Sources for this page

Verify at the official NPI Registry.