Individual provider Active NPI

Diane Peeler Thurman, MSPT

  • Contractor
  • Southfield, MI
National Provider Identifier
1740574359
Registry record updated Jun 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
5501004949 Issued in MI
Practice address
18922 Hilton Dr
18922 Hilton Drive
Southfield, MI 48075-7238
Phone
(248) 552-9745
NPI assigned
Jun 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 5501004949 MI Primary

Addresses

Primary practice location

18922 Hilton Dr
18922 Hilton Drive
Southfield, MI 48075-7238

Mailing address

18922 Hilton Dr
18922 Hilton Drive
Southfield, MI 48075-7238
Phone (248) 552-9745

Other names 1

  • Ms. Diane Peeler Thurman Professional name

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

State licenses

LicenseStateTypeSpecialty
5501004949MIMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1740574359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18922 HILTON DR",
            "address_2": "18922 HILTON DRIVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757238",
            "telephone_number": "248-552-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18922 HILTON DR",
            "address_2": "18922 HILTON DRIVE",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757238",
            "telephone_number": "248-552-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "DIANE",
        "middle_name": "PEELER",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "MI",
            "license": "5501004949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "THURMAN",
            "middle_name": "PEELER",
            "prefix": "MS.",
            "credential": "MSPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.