Individual provider Active NPI

Diana Althea Jensen, MD

  • General Practice Physician
  • Staunton, VA
National Provider Identifier
1811971005
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101046988 Issued in VA
Practice address
40 Lambert St
Suite 411, Staunton Medical Center
Staunton, VA 24401-2446
Phone
(540) 886-0827
Fax
(540) 886-6360
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101046988 VA Primary

Addresses

Primary practice location

40 Lambert St
Suite 411, Staunton Medical Center
Staunton, VA 24401-2446

Mailing address

40 Lambert St
Suite 411, Staunton Medical Center
Staunton, VA 24401-2446
Phone (540) 886-0827

Other identifiers 3

IdentifierTypeStateIssuer
038612OtherVABCBS
5604249MedicaidVA
2114197OtherVAMAMSI

Other names 1

  • Diana Althea Jensen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000489 VA Practitioner - Family Practice 7315078706 Practice locations: Staunton, VA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101046988VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dbishop@dianajensen.amazing-direct.com

Organizations & group practices 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1811971005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 LAMBERT ST",
            "address_2": "SUITE 411, STAUNTON MEDICAL CENTER",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012446",
            "telephone_number": "540-886-0827",
            "fax_number": "540-886-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 LAMBERT ST",
            "address_2": "SUITE 411, STAUNTON MEDICAL CENTER",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244012446",
            "telephone_number": "540-886-0827",
            "fax_number": "540-886-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "DIANA",
        "middle_name": "ALTHEA",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101046988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "038612",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5604249",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2114197",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "JENSEN",
            "middle_name": "ALTHEA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Staunton, VA

Sources for this page

Verify at the official NPI Registry.