Individual provider Active NPI

Diane K. Burket, C.N.P.

  • Family Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1891801403
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
00983 Issued in OH
Practice address
8000 5 Mile Rd Ste 207
Cincinnati, OH 45230-2163
Phone
(513) 474-2870
Fax
(513) 688-8585
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X CTP000983/RN228988 OH
Family Nurse Practitioner 363LF0000X 00983 OH Primary

Addresses

Primary practice location

8000 5 Mile Rd Ste 207
Cincinnati, OH 45230-2163

Mailing address

424 Wards Corner Rd Ste 200
Loveland, OH 45140-6966
Phone (513) 707-4041

Other practice location 1

2055 Hospital Dr Ste 220
Batavia, OH 45103-1969
Phone (513) 732-0870

Other practice location 2

150 Health Partners Cir
Mount Orab, OH 45154-8610
Phone (937) 444-2514

Other practice location 3

100 River Valley Blvd
New Richmond, OH 45157-8566
Phone (513) 553-3114

Other identifiers 1

IdentifierTypeStateIssuer
2017829MedicaidOH

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)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CTP000983/RN228988OHMDGeneral Practice Registered Nurse
00983OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1891801403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 WARDS CORNER RD STE 200",
            "city": "LOVELAND",
            "state": "OH",
            "postal_code": "451406966",
            "telephone_number": "513-707-4041",
            "fax_number": "513-576-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 5 MILE RD STE 207",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302163",
            "telephone_number": "513-474-2870",
            "fax_number": "513-688-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Hospital Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "OH",
            "postal_code": "451031969",
            "country_code": "US",
            "telephone_number": "513-732-0870",
            "fax_number": "513-685-4239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Health Partners Cir",
            "address_purpose": "LOCATION",
            "city": "Mount Orab",
            "state": "OH",
            "postal_code": "451548610",
            "country_code": "US",
            "telephone_number": "937-444-2514",
            "fax_number": "937-444-4818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 River Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "OH",
            "postal_code": "451578566",
            "country_code": "US",
            "telephone_number": "513-553-3114",
            "fax_number": "513-553-1032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKET",
        "first_name": "DIANE",
        "middle_name": "K.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "CTP000983/RN228988",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "00983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017829",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.