Individual provider Active NPI

Diana Flurry Wilemon, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1770135527
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142158 Issued in TX
Practice address
3414 Milton Ave
Dallas, TX 75205-1338
Phone
(469) 522-3995
Fax
(972) 364-1925
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142158 TX Primary

Addresses

Primary practice location

3414 Milton Ave
Dallas, TX 75205-1338

Mailing address

3414 Milton Ave
Dallas, TX 75205-1338
Phone (463) 522-3995

Other names 1

  • Ms. Diana Catherine Flurry-Wilemon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230110003227 TX Practitioner - Nurse Practitioner 0749650612 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142158TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Citra Physician Services PLLC Current Accepting new patients
Citra Physician Services PLLC CurrentSince Oct 1, 2022 Accepting new patients
Summit Emergency Medicine, PLLC Current Accepting new patients
Salubrity Group of Texas, LLC Family Medicine PastSince Jan 5, 2019 Accepting new patients

Locations

7515 Greenville Ave
Ste 900
Dallas, TX 75231
Phone (214) 206-1447

6176 Retail Rd
Ste 400
Dallas, TX 75231
Phone (214) 977-6798

18101 Preston Rd
Ste 201
Dallas, TX 75252
Phone (972) 533-8556

3414 Milton Ave
Dallas, TX 75205
Phone (214) 368-4822

2501 W 7th St
Ste 101
Ft Worth, TX 76107
Phone (817) 268-9690

211 E FM 544
Ste 401
Murphy, TX 75094
Phone (972) 200-3199

Interoperability endpoints

  • Direct secure messaging: diana.wilemon.1@29742.direct.athenahealth.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1770135527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051338",
            "telephone_number": "463-522-3995",
            "fax_number": "972-364-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MILTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051338",
            "telephone_number": "469-522-3995",
            "fax_number": "972-364-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEMON",
        "first_name": "DIANA",
        "middle_name": "FLURRY",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-02-16",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "FLURRY-WILEMON",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.