Individual provider Active NPI

Diana Lynn Braskett, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1851553820
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP3069 Issued in AZ
Practice address
1856 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5303
Phone
(520) 836-5036
NPI assigned
Jun 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP3069 AZ Primary

Addresses

Primary practice location

1856 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5303

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

Other practice location 1

1432 S Dobson Rd
Ste 506
Mesa, AZ 85202-4768
Phone (480) 412-6430

Other identifiers 3

IdentifierTypeStateIssuer
Z139286OtherAZARIZONA MEDICARE FARGO PART B
521360MedicaidAZ
AP3069OtherAZAZ STATE BPARD OF NURSING

Other names 1

  • Diana Lynn Hellwig Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11334MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare CurrentSince Mar 4, 2024 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare CurrentSince Mar 4, 2024 Accepting new patients
Sun Life Family Health Center, Inc. PastSince Feb 27, 2022 Accepting new patients
Sun Life Family Health Center, Inc PastSince Feb 27, 2022 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

320 3rd Ave
Albany, MN 56307
Phone (320) 845-2157

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

Interoperability endpoints

  • Direct secure messaging: dbraskett783011@direct.centracare.com

Organizations & group practices 6

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1851553820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 E FLORENCE BLVD STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225303",
            "telephone_number": "520-836-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1432 S Dobson Rd",
            "address_2": "Ste 506",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024768",
            "country_code": "US",
            "telephone_number": "480-412-6430",
            "fax_number": "480-412-6438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASKETT",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "C.P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "AP3069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICARE FARGO PART B",
            "identifier": "Z139286",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "521360",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE BPARD OF NURSING",
            "identifier": "AP3069",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "HELLWIG",
            "middle_name": "LYNN",
            "credential": "PNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.