Active NPI
Diana L Reed, CRNA
- Certified Registered Nurse Anesthetist
- Canton, OH
National Provider Identifier
1700830031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN194352
- Practice address
- 4665 Douglas Cir NW
Suite 101
Canton, OH 44718-3673 - Phone
- (330) 499-5700
- Fax
- (330) 498-4229
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN194352 | OH | Primary |
Addresses
Primary practice location
4665 Douglas Cir NW
Suite 101
Canton, OH 44718-3673
Mailing address
4665 Douglas Cir NW Ste 100
Canton, OH 44718-3673
Phone (330) 499-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208582 | Medicaid | OH | |
| 430046899 | Other | MEDICARE RAILROAD | |
| 000000135923 | Other | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN194352 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stark County Anesthesia, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Canton, OH
- NPI 1427009406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1700830031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4665 DOUGLAS CIR NW STE 100",
"city": "CANTON",
"state": "OH",
"postal_code": "447183673",
"telephone_number": "330-499-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4665 DOUGLAS CIR NW",
"address_2": "SUITE 101",
"city": "CANTON",
"state": "OH",
"postal_code": "447183673",
"telephone_number": "330-499-5700",
"fax_number": "330-498-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "DIANA",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN194352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0208582",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "430046899",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000135923",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.