Individual provider Active NPI

Diane Marie Lobner, LPN

  • Licensed Practical Nurse
  • Menomonee Falls, WI
National Provider Identifier
1891098570
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
30760-31 Issued in WI
Practice address
N87W16067 Kenwood Blvd
Menomonee Falls, WI 53051-2914
Phone
(262) 255-6823
Fax
(262) 255-6823
NPI assigned
Dec 17, 2010
Last updated
Dec 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 30760-31 WI Primary

Addresses

Primary practice location

N87W16067 Kenwood Blvd
Menomonee Falls, WI 53051-2914

Mailing address

N87W16067 Kenwood Blvd
Menomonee Falls, WI 53051-2914
Phone (262) 255-6823

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
30760-31WIMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1891098570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N87W16067 KENWOOD BLVD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512914",
            "telephone_number": "262-255-6823",
            "fax_number": "262-255-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N87W16067 KENWOOD BLVD",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530512914",
            "telephone_number": "262-255-6823",
            "fax_number": "262-255-6823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBNER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "30760-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.