Individual provider Active NPI

Dianne Amanda McNeil, RN; ANP

  • Adult Health Nurse Practitioner
  • Millbrook, NY
National Provider Identifier
1821379975
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300097-1 Issued in NY
Practice address
24 Millbrook Hollow
Millbrook, NY 12545-0604
Phone
(845) 677-1207
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 265872-1 NY
Adult Health Nurse Practitioner 363LA2200X F300097-1 NY Primary

Addresses

Primary practice location

24 Millbrook Hollow
Millbrook, NY 12545-0604

Mailing address

PO Box 604
24 Millbrook Hollow
Millbrook, NY 12545-0604
Phone (845) 677-1207

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
265872-1NYMDRegistered Nurse
F300097-1NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1821379975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604",
            "address_2": "24 MILLBROOK HOLLOW",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125450604",
            "telephone_number": "845-677-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MILLBROOK HOLLOW",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125450604",
            "telephone_number": "845-677-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "DIANNE",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "RN; ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "265872-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300097-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.