Diane Stewart

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

SP014790 Issued in PA

Practice address

21 Peoria LN
Sicklerville, NJ 08081-1816

Phone

(856) 875-5325

NPI assigned

Feb 16, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Turnersville Internal Medicine and GeriatricsGroup PAC ID 1153340823, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Turnersville Internal Medicine and Geriatrics

  • Primary Care Clinic/Center
  • Turnersville, NJ
  • NPI 1689767139

  NJ

  Medicare reassignment Care Compare group NPD
• Minimally Invasive Care Institute of Lehigh Valley LLC

  • Vascular Surgery Physician
  • Bethlehem, PA
  • NPI 1477083335
  NPD
• Pocono Surgical Associates

  • Specialist
  • East Stroudsburg, PA
  • NPI 1245311067
  NPD (past)

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1902297724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PEORIA LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811816",
            "telephone_number": "856-875-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PEORIA LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080811816",
            "telephone_number": "856-875-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP014790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starlight Care Companion LLC
• Ann L Stengel
• Lanajia Stephens
• Steven M Grant DPM
• Blythe Stewart
• Kristina Stibich
• Donald Joseph Stieber, DPT
• Still Mind Health LLC
• Stacey Stroman
• Kathryn Stuffo, D.O.

• All providers in Sicklerville, NJ
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.