Active NPI
Dianne C Rand, FNP AND LISW
- Family Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1902912413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R09241
- Practice address
- 2449 Hiawatha Dr NE
Albuquerque, NM 87112-1921 - Phone
- (505) 275-8212
- NPI assigned
- Aug 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I-05508 | NM | |
| Family Nurse Practitioner | 363LF0000X | R09241 | NM | Primary |
Addresses
Primary practice location
2449 Hiawatha Dr NE
Albuquerque, NM 87112-1921
Mailing address
2449 Hiawatha Dr NE
Albuquerque, NM 87112-1921
Phone (505) 275-8212
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-05508 | NM | MD | Clinical Social Worker |
| R09241 | NM | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323907200000",
"number": "1902912413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 HIAWATHA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121921",
"telephone_number": "505-275-8212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 HIAWATHA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871121921",
"telephone_number": "505-275-8212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAND",
"first_name": "DIANNE",
"middle_name": "C",
"name_prefix": "Prof.",
"credential": "FNP AND LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2011-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-05508",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "R09241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.