Diana Maureen Edmonson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP 9258069 Issued in FL

Practice address

2121 Collier Pkwy
Land O Lakes, FL 34639-5286

Phone

(813) 948-3986

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rad Gharavi MD PC

  • Psychiatry Physician
  • Lutz, FL
  • NPI 1861229106
  NPD

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227398400000",
    "number": "1871786103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395286",
            "telephone_number": "813-948-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 COLLIER PKWY",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346395286",
            "telephone_number": "813-948-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONSON",
        "first_name": "DIANA",
        "middle_name": "MAUREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9258069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E&M Florida Enterprises LLC
• Amanda Eagle, LCSW
• Early Intervention Solutions LLC
• Trey E Early, CRNA
• Micaela Eckert
• Bari Edwards
• Jason Anthony Edwards, DMD
• Princess Eleonor Eleonor Flores
• Elevation Health PLLC
• Danyale Ellis

• Family Nurse Practitioner in Land O Lakes, FL
• Providers in Land O Lakes, FL by specialty
• Family Nurse Practitioner in Florida

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