Active NPI
Joan W Diehl, RN
- Registered Nurse
- Syracuse, NY
National Provider Identifier
1891127254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 480000
- Practice address
- 2105 W Genesee St
Syracuse, NY 13219-1656 - Phone
- (315) 468-3239
- Fax
- (315) 468-2917
- NPI assigned
- Aug 7, 2013
- Last updated
- Aug 7, 2013
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 480000 | NY | Primary |
Addresses
Primary practice location
2105 W Genesee St
Syracuse, NY 13219-1656
Mailing address
106 Kenyon Dr
Nedrow, NY 13120
Phone (315) 469-6767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 480000-1 | Other | NY | RN LICENSE |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 480000 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1891127254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 KENYON DR",
"city": "NEDROW",
"state": "NY",
"postal_code": "13120",
"telephone_number": "315-469-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 W GENESEE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132191656",
"telephone_number": "315-468-3239",
"fax_number": "315-468-2917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEHL",
"first_name": "JOAN",
"middle_name": "W",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "480000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "480000-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.