Individual provider Active NPI

Diane Coyle Anderson

  • Registered Nurse
  • Albany, NY
National Provider Identifier
1760647903
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
328513 Issued in NY
Practice address
1450 Western Ave
Suite 104
Albany, NY 12203-3539
Phone
(518) 426-0283
Fax
(518) 426-0914
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 328513 NY Primary

Addresses

Primary practice location

1450 Western Ave
Suite 104
Albany, NY 12203-3539

Mailing address

1450 Western Ave
Suite 104
Albany, NY 12203-3539
Phone (518) 426-0283

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
328513NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1760647903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE",
            "address_2": "SUITE 104",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-426-0283",
            "fax_number": "518-426-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WESTERN AVE",
            "address_2": "SUITE 104",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033539",
            "telephone_number": "518-426-0283",
            "fax_number": "518-426-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DIANE",
        "middle_name": "COYLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "328513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.