Individual provider Active NPI

Dianna L Ellis

  • Registered Nurse
  • Wheelersburg, OH
National Provider Identifier
1659154631
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN.385571 Issued in OH
Practice address
8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713
Phone
(740) 529-1201
NPI assigned
Aug 15, 2023
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.385571 OH Primary

Addresses

Primary practice location

8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713

Mailing address

8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713
Phone (740) 529-1201

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.385571OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Now Counseling and Treatment LLC CurrentSince Aug 27, 2023 Accepting new patients
Serenity Now Counseling and Treatment LLC PastSince Aug 27, 2023 Accepting new patients

Locations

8308 Ohio River Rd
Ste B
Wheelersburg, OH 45694
Phone (740) 529-1201

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, 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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1659154631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941713",
            "telephone_number": "740-529-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941713",
            "telephone_number": "740-529-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DIANNA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.385571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.