Individual provider Active NPI

Diana Lynne Salzburg, LM

  • Midwife
  • Gainesville, FL
National Provider Identifier
1922149343
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW0020 Issued in FL
Practice address
521 NE 1St St Ste B
Gainesville, FL 32601-5710
Phone
(352) 377-3879
Fax
(352) 478-0175
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW20 FL
Midwife 176B00000X MW0020 FL Primary

Addresses

Primary practice location

521 NE 1St St Ste B
Gainesville, FL 32601-5710

Mailing address

521 NE 1St St Ste B
Gainesville, FL 32601-5710
Phone (352) 377-3879

Other identifiers 2

IdentifierTypeStateIssuer
340428500MedicaidFL
Y2945OtherFLBLUE CROSS BLUE SHIELD

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

State licenses

LicenseStateTypeSpecialty
MW0020FLMDMidwife
MW20FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwives Cooperative LLC Midwife PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 1

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1922149343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NE 1ST ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015710",
            "telephone_number": "352-377-3879",
            "fax_number": "352-478-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 NE 1ST ST STE B",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015710",
            "telephone_number": "352-377-3879",
            "fax_number": "352-478-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALZBURG",
        "first_name": "DIANA",
        "middle_name": "LYNNE",
        "credential": "LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW20",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW0020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340428500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y2945",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.