Bryanna Nicole Diebold

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

110 N 4TH St
Ponca City, OK 74601-4527

Phone

(580) 749-5056

Fax

(580) 215-5765

NPI assigned

Jan 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1659969301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014527",
            "telephone_number": "580-749-5056",
            "fax_number": "580-215-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N 4TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014527",
            "telephone_number": "580-749-5056",
            "fax_number": "580-215-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEBOLD",
        "first_name": "BRYANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "bdiebold@glmhc.net",
            "affiliation": "N",
            "address_1": "2562 Honeywood St Apt 214",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746041652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanine Dianne Deterding, ARNP
• Jessica Lynn Deweese
• Tammy Lynn Dexter, CNM
• Emma Kate Dice
• Adriana Dickinson
• Ashley Jessica Diedrich, LPC
• Claudia Jo Dilbeck, LPN
• Julie Anne Dilbeck, RN
• Sally Dillon
• Taylor J Diveley

• Case Manager/Care Coordinator in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.