Active NPI
Diane Marie Krawczyk, RNFA
- Medical-Surgical Clinical Nurse Specialist
- Fort Lauderdale, FL
National Provider Identifier
1780898502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 058687
- Practice address
- 3981 SW 30TH Ave
Fort Lauderdale, FL 33312-6816 - Phone
- (954) 816-9681
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | 058687 | FL | Primary |
Addresses
Primary practice location
3981 SW 30TH Ave
Fort Lauderdale, FL 33312-6816
Mailing address
131 NW 51St St
Fort Lauderdale, FL 33309-3210
Phone (954) 789-4082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN 3003202 | Other | FL | RNFA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058687 | FL | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1780898502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 NW 51ST ST",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333093210",
"telephone_number": "954-789-4082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3981 SW 30TH AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333126816",
"telephone_number": "954-816-9681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAWCZYK",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "FL",
"license": "058687",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RNFA",
"identifier": "RN 3003202",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.