Active NPI
Dianne Marie Harris, RN
- Registered Nurse
- Liverpool, NY
National Provider Identifier
1699005967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 42024-1
- Practice address
- 4172 Antler LN
Liverpool, NY 13090-6817 - Phone
- (315) 657-3752
- NPI assigned
- Jan 8, 2010
- Last updated
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 42024-1 | NY | Primary |
| Case Management Registered Nurse | 163WC0400X | 42024-1 | NY | |
| Home Health Registered Nurse | 163WH0200X | 42024-1 | NY |
Addresses
Primary practice location
4172 Antler LN
Liverpool, NY 13090-6817
Mailing address
4172 Antler LN
Liverpool, NY 13090-6817
Phone (315) 657-3752
Other names 1
- Miss Dianne Marie Dobrowolski
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42024-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1699005967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4172 ANTLER LN",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130906817",
"telephone_number": "315-657-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4172 ANTLER LN",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130906817",
"telephone_number": "315-657-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "DIANNE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-08",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "42024-1",
"primary": true
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "42024-1",
"primary": false
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "42024-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNE",
"last_name": "DOBROWOLSKI",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.