Active NPI
Diane Elizabeth Bonnell, APRN
- Family Nurse Practitioner
- Redstone Arsenal, AL
National Provider Identifier
1902046824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000013905
- Practice address
- 4100 Goss Road
Fox Army Health Center
Redstone Arsenal, AL 35809-7000 - Phone
- (800) 223-9531
- NPI assigned
- Mar 5, 2009
- Last updated
- Nov 18, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000013905 | TN | Primary |
Addresses
Primary practice location
4100 Goss Road
Fox Army Health Center
Redstone Arsenal, AL 35809-7000
Mailing address
4100 Goss Road
Fox Army Health Center
Redstone Arsenal, AL 35809-7000
Other names 1
- Mrs. Diane Elizabeth Taylor
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000271 | AL | Order and Referring Only - Certified Registered Nurse Anesthetist (Crna) | 8426221862 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000013905 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1902046824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 GOSS ROAD",
"address_2": "FOX ARMY HEALTH CENTER",
"city": "REDSTONE ARSENAL",
"state": "AL",
"postal_code": "358097000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 GOSS ROAD",
"address_2": "FOX ARMY HEALTH CENTER",
"city": "REDSTONE ARSENAL",
"state": "AL",
"postal_code": "358097000",
"telephone_number": "800-223-9531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNELL",
"first_name": "DIANE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000013905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "TAYLOR",
"middle_name": "ELIZABETH",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redstone Arsenal, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.