Individual provider Active NPI

Diana Marie Ciminieri, RN

  • Family Nurse Practitioner
  • Allentown, PA
National Provider Identifier
1750893400
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP018264 Issued in PA
Practice address
421 Chew St
Allentown, PA 18102-3406
Phone
(610) 776-4500
NPI assigned
Nov 2, 2017
Last updated
Feb 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP018264 PA Primary
Registered Nurse 163W00000X RN568561 PA

Addresses

Primary practice location

421 Chew St
Allentown, PA 18102-3406

Mailing address

329 Cattail CT
Pennsburg, PA 18073-1569
Phone (215) 237-8232

Other names 1

  • Diana C Flores Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180423000673 PA Practitioner - Nurse Practitioner 8820351091 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN568561PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jun 23, 2018 Accepting new patients
Tower Health Medical Group Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jun 23, 2018 Accepting new patients
Tower Health Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Tower Health Medical Group CurrentSince Feb 25, 2019 Accepting new patients
Sacred Heart Healthcare System Past Accepting new patients

Locations

421 Chew St
Allentown, PA 18102
Phone (610) 776-4500

450 Chew St
Ste 204
Allentown, PA 18102
Phone (610) 776-4758

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

560 Van Reed Rd
Ste 101
Wyomissing, PA 19610
Phone (484) 516-2937

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1750893400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 CATTAIL CT",
            "city": "PENNSBURG",
            "state": "PA",
            "postal_code": "180731569",
            "telephone_number": "215-237-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 CHEW ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181023406",
            "telephone_number": "610-776-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINIERI",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-02",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP018264",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN568561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "FLORES",
            "middle_name": "C",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.