Individual provider Active NPI

Diane Louise Sternin, RN

  • General Practice Registered Nurse
  • South Lake Tahoe, CA
National Provider Identifier
1730904855
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
557010 Issued in CA
Practice address
1080 Julie LN SPC 11
South Lake Tahoe, CA 96150-6220
Phone
(530) 417-0153
NPI assigned
Nov 22, 2024
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 557010 CA
General Practice Registered Nurse 163WG0000X 557010 CA Primary
Hospice Registered Nurse 163WH1000X 557010 CA

Addresses

Primary practice location

1080 Julie LN SPC 11
South Lake Tahoe, CA 96150-6220

Mailing address

1080 Julie LN SPC 11
South Lake Tahoe, CA 96150-6220
Phone (530) 417-0153

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

LicenseStateTypeSpecialty
557010CAMDHospice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1730904855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 JULIE LN SPC 11",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506220",
            "telephone_number": "530-417-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 JULIE LN SPC 11",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506220",
            "telephone_number": "530-417-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STERNIN",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "557010",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "557010",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "557010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.