Individual provider Active NPI

Dianne M Miskinis, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1801061635
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R114942 Issued in MD
Practice address
9000 Rockville Pike
10 CRC/5W3750
Bethesda, MD 20892-0001
Phone
(301) 594-5945
Fax
(301) 451-5358
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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 R114942 MD Primary

Addresses

Primary practice location

9000 Rockville Pike
10 CRC/5W3750
Bethesda, MD 20892-0001

Mailing address

11310 Rokeby Ave
#3
Garrett Park, MD 20896
Phone (301) 933-6686

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
R114942MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1801061635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 ROKEBY AVE",
            "address_2": "#3",
            "city": "GARRETT PARK",
            "state": "MD",
            "postal_code": "20896",
            "telephone_number": "301-933-6686",
            "fax_number": "301-451-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROCKVILLE PIKE",
            "address_2": "10 CRC/5W3750",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-594-5945",
            "fax_number": "301-451-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKINIS",
        "first_name": "DIANNE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R114942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.