Individual provider Active NPI

Dianne Marie Niecko, NP

  • Adult Health Nurse Practitioner
  • Battle Creek, MI
National Provider Identifier
1699005777
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704109999 Issued in MI
Practice address
190 E Michigan Ave
Ste A100
Battle Creek, MI 49014-4005
Phone
(269) 965-3539
Fax
(269) 966-1489
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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 4704109999 MI Primary

Addresses

Primary practice location

190 E Michigan Ave
Ste A100
Battle Creek, MI 49014-4005

Mailing address

190 E Michigan Ave
Ste A100
Battle Creek, MI 49014-4005
Phone (269) 965-3539

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704109999MIMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1699005777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E MICHIGAN AVE",
            "address_2": "STE A100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490144005",
            "telephone_number": "269-965-3539",
            "fax_number": "269-966-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 E MICHIGAN AVE",
            "address_2": "STE A100",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490144005",
            "telephone_number": "269-965-3539",
            "fax_number": "269-966-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIECKO",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704109999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.