Individual provider Active NPI

Diane Wright, ANP-BC

  • Adult Health Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1689961237
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00328900 Issued in NJ
Practice address
1672 Miller Ave
West Deptford, NJ 08086-3210
Phone
(856) 278-8996
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00328900 NJ Primary

Addresses

Primary practice location

1672 Miller Ave
West Deptford, NJ 08086-3210

Mailing address

1672 Miller Ave
West Deptford, NJ 08086-3210
Phone (856) 278-8996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130130000182 NJ Practitioner - Nurse Practitioner 5799939682 Reassigns benefits to 4 organizations
Practice locations: West Deptford, NJ
I20161005001610 DE Practitioner - Nurse Practitioner 5799939682 Practice locations: Bear, DE

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

190 N Evergreen Ave
Suite 202
Woodbury, NJ 08096-1862
Phone (856) 628-4504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00328900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Psychiatric Services, LLC Current Accepting new patients
CMC Department of Medicine Group PA CurrentSince Dec 6, 2015 Accepting new patients
Where Families Thrive Inc CurrentSince Nov 6, 2021 Accepting new patients
Vista Medical Services, Inc. CurrentSince Apr 15, 2019 Accepting new patients
Cooper Nephrology, PC CurrentSince Dec 6, 2015 Accepting new patients
Garden State Visiting Practitioners Adult Health Past Accepting new patients

Locations

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

57 Haddonfield Rd
Ste 100
Cherry Hill, NJ 08002
Phone (609) 889-8100

5 Route 45
Ste 101
Salem, NJ 08079
Phone (856) 878-1500

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577

190 N Evergreen Ave
Ste 202
Woodbury, NJ 08096
Phone (856) 628-4504

160 Rock Hill Rd
Bala Cynwyd, PA 19004
Phone (610) 667-6080

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1689961237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 MILLER AVE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080863210",
            "telephone_number": "856-278-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 MILLER AVE",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080863210",
            "telephone_number": "856-278-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "DIANE",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00328900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.