Individual provider Active NPI

Diane Hemingway

  • Pediatrics Physician
  • Elizabeth City, NC
National Provider Identifier
1891774345
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
015698 Issued in ME
Practice address
1735 City Center Blvd
Elizabeth City, NC 27909-8960
Phone
(252) 338-2155
Fax
(252) 338-7704
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 015698 ME Primary

Addresses

Primary practice location

1735 City Center Blvd
Elizabeth City, NC 27909-8960

Mailing address

1735 City Center Blvd
Elizabeth City, NC 27909-8960
Phone (252) 338-2155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141210000278 DE Practitioner - Pediatric Medicine 1951344779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015698MEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Nov 1, 2014 Accepting new patients
The Nemours Foundation CurrentSince Nov 1, 2014 Accepting new patients
The Nemours Foundation Past Accepting new patients

Locations

201 Towne Centre Dr
Ste 500
Dover, DE 19904
Phone (302) 672-5650

102 W Water St
Fl 1
Dover, DE 19904
Phone (302) 651-6212

1600 Rockland Rd
Wilmington, DE 19803

Interoperability endpoints

  • Direct secure messaging: dhemingway51139@direct.nemours.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1891774345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 CITY CENTER BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098960",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 CITY CENTER BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279098960",
            "telephone_number": "252-338-2155",
            "fax_number": "252-338-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMINGWAY",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "015698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.