Individual provider Active NPI

Diane Lynn Rellinger

  • Health Educator
  • Clinton Township, MI
National Provider Identifier
1669962858
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
21885 Dunham Rd Ste 12
Clinton Township, MI 48036-1030
Phone
(586) 469-7915
Fax
(586) 469-6948
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

21885 Dunham Rd Ste 12
Clinton Township, MI 48036-1030

Mailing address

21885 Dunham Rd Ste 12
Clinton Township, MI 48036-1030
Phone (586) 469-7915

Other practice location 1

21885 Dunham Rd # Suuite12
Clinton Township, MI 48036-1030
Phone (586) 469-7915

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

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1669962858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD STE 12",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-7915",
            "fax_number": "586-469-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21885 DUNHAM RD STE 12",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361030",
            "telephone_number": "586-469-7915",
            "fax_number": "586-469-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21885 Dunham Rd # Suuite12",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361030",
            "country_code": "US",
            "telephone_number": "586-469-7915",
            "fax_number": "586-469-6948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RELLINGER",
        "first_name": "DIANE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.