Dianna Maria O'Neill

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A121525 Issued in IA

Practice address

5950 University Ave Ste 205
West Des Moines, IA 50266-8231

Phone

(515) 875-9290

Fax

(515) 875-9291

NPI assigned

May 14, 2015

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

Other names 1

• Dianna Maria Deardorff Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

KDP Management Services PLLCGroup PAC ID 2860805009, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• KDP Management Services PLLC

  • Nurse Practitioner
  • West Des Moines, IA
  • NPI 1790300648
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1891173548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 205",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668231",
            "telephone_number": "515-875-9290",
            "fax_number": "515-875-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 University Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503114316",
            "country_code": "US",
            "telephone_number": "515-280-7002",
            "fax_number": "515-284-0149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Pleasant St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "50309",
            "country_code": "US",
            "telephone_number": "515-875-9290",
            "fax_number": "515-241-4162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "DIANNA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A121525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diannaoneill@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1221 Pleasant St Ste 400",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANNA",
            "last_name": "DEARDORFF",
            "middle_name": "MARIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael C O'Brien
• Mollie O'Brien, ARNP
• Bailey O'Donnell, PA-C
• Casey O'Donnell
• Zachary Thomas O'Hollearn, LMSW
• Oasis Therapy and Consulting LLC
• Samantha Och
• Peter Odegaard
• Colin Earl Odland, DDS
• Caroline Clark Oestreich, LISW

• Nurse Practitioner in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.