Diane A Schlick, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS7860 Issued in FL

Practice address

616 S Jefferson Street
Perry, FL 32347

Phone

(850) 584-5876

Fax

(850) 584-4939

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Diane A Haisten Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: ccc@ccc.medicalservices.net

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1679518187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 S JEFFERSON STREET",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-5876",
            "fax_number": "850-584-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S JEFFERSON STREET",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "32347",
            "telephone_number": "850-584-5876",
            "fax_number": "850-584-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLICK",
        "first_name": "DIANE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS7860",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "HAISTEN",
            "middle_name": "A",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rural Anesthesia Associates, LLC
• Joni Russ, PTA
• Pamela Sauls, M.D.
• Deborah Jean Scavelli, RPH
• Donna M Schippers, D.O.
• Sharon Agnes Schlick, PA-C
• Nita Smith Scott, LMFT
• Shane Bethea DC PC Inc
• Sara K Shaw
• Tiffany Shiver, IBCLC

• Family Medicine Physician in Perry, FL
• Providers in Perry, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.