Individual provider Active NPI

Diane Mipro Griener, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1679099956
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09582 Issued in LA
Practice address
13348 Coursey Blvd Ste D
Baton Rouge, LA 70816-4970
Phone
(225) 442-7939
Fax
(225) 777-1040
NPI assigned
Aug 17, 2017
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131607 TX
Family Nurse Practitioner 363LF0000X AP09582 LA Primary

Addresses

Primary practice location

13348 Coursey Blvd Ste D
Baton Rouge, LA 70816-4970

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363
Phone (318) 807-7875

Other names 1

  • Diane Elizabeth Mipro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202001222 LA Practitioner - Nurse Practitioner 7618237009 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians
CH MSSP Services la LLCGroup PAC ID 6901206416, 44 clinicians

Practice addresses (Care Compare)

2614 Jefferson Hwy
New Orleans, LA 70121-3828
Phone (337) 991-9276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09582LAMDFamily Nurse Practitioner
AP131607TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC Current Accepting new patients
Southern Orthopaedic Specialists Apmc CurrentSince Jan 1, 2020 Accepting new patients
LMG, LLC CurrentSince Jan 22, 2018 Accepting new patients
Affinity Health Group, LLC CurrentSince Aug 16, 2021 Accepting new patients
LMG LLC CurrentSince Jan 22, 2018 Accepting new patients
Affinity Health Group, LLC CurrentSince Aug 16, 2021 Accepting new patients

Locations

13348 Coursey Blvd
Ste D
Baton Rouge, LA 70816
Phone (225) 442-7939

4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

2731 Napoleon Ave
New Orleans, LA 70115
Phone (504) 897-6351

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20631/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1679099956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13348 COURSEY BLVD STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164970",
            "telephone_number": "225-442-7939",
            "fax_number": "225-777-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIENER",
        "first_name": "DIANE",
        "middle_name": "MIPRO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131607",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MIPRO",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.