NPIMap

Organization Active NPI

Diana Lynn Gummo CRNP LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mt Pleasant, PA
National Provider Identifier
1740610583
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP010666 Issued in PA
Legal business name
DIANA LYNN GUMMO CRNP LLC
Practice address
607 N. Church St.
Suite 2
Mt. Pleasant, PA 15666
Phone
(724) 547-3200
Fax
(724) 547-3210
NPI assigned
Nov 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Mrs. Diana Lynn Gummo, CRNPNPI 1700117041
Title
Nurse Practitioner
Phone
(724) 433-6134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X SP010666 PA Primary

Addresses

Primary practice location

607 N. Church St.
Suite 2
Mt. Pleasant, PA 15666

Mailing address

248 Greenbrier Rd
Acme, PA 15610-1234
Phone (724) 433-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140331000803 PA Part B Supplier - Clinic/Group Practice 7416188792 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, PA

National Provider Directory

National Provider Directory

Locations

101 N Main St
Ste G20
Greensburg, PA 15601
Phone (724) 547-3200

1001 Ligonier St
Latrobe, PA 15650
Phone (724) 219-6009

111 W Main St
Mt Pleasant, PA 15666
Phone (724) 219-6009

199 N Main St
Washington, PA 15301
Phone (724) 228-2203

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1740610583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 GREENBRIER RD",
            "city": "ACME",
            "state": "PA",
            "postal_code": "156101234",
            "telephone_number": "724-433-6134",
            "fax_number": "724-547-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 N. CHURCH ST.",
            "address_2": "SUITE 2",
            "city": "MT. PLEASANT",
            "state": "PA",
            "postal_code": "15666",
            "telephone_number": "724-547-3200",
            "fax_number": "724-547-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA LYNN GUMMO CRNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "GUMMO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "724-433-6134",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP010666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.