Active NPI
Diana Lynn Braskett, C.P.N.P.
- Pediatric Nurse Practitioner
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP3069
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z139286 | Other | AZ | ARIZONA MEDICARE FARGO PART B |
| 521360 | Medicaid | AZ | |
| AP3069 | Other | AZ | AZ STATE BPARD OF NURSING |
Other names 1
- Diana Lynn Hellwig
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11334 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Unity Family Healthcare | Current | Accepting new patients | |
| Sun Life Family Health Center, Inc. | Past | Accepting new patients | |
| Sun Life Family Health Center, Inc | Past | 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
- 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.
-
- Family Medicine Physician
- Little Falls, MN
- NPI 1275762650
-
- Orthopaedic Surgery Physician
- Little Falls, MN
- NPI 1326234006
-
- Critical Access Hospital
- Little Falls, MN
- NPI 1780630939
-
- Home Health Agency
- Little Falls, MN
- NPI 1952329047
-
- Federally Qualified Health Center (FQHC)
- Casa Grande, AZ
- NPI 1417286568
-
- Federally Qualified Health Center (FQHC)
- Mesa, AZ
- NPI 1508276940
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.