Individual provider Active NPI

Dianna Lynn Phares, PHD, DNP, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Weldon Spring, MO
National Provider Identifier
1922335769
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
137634 Issued in MO
Practice address
4605 Crosshaven CT
Weldon Spring, MO 63304-0500
Phone
(314) 503-4052
Fax
(636) 498-6666
NPI assigned
Nov 16, 2009
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 137634 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 137634 MO Primary

Addresses

Primary practice location

4605 Crosshaven CT
Weldon Spring, MO 63304-0500

Mailing address

4605 Crosshaven CT
Weldon Spring, MO 63304-0500
Phone (314) 503-4052

Other practice location 1

235 Progress Rd
Hannibal, MO 63401-6637
Phone (573) 603-1460

Other practice location 2

1 Healthcare Pl
Bowling Green, MO 63334-3602
Phone (573) 603-1460

Other practice location 3

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

Other practice location 4

235 Progress Rd
Hannibal, MO 63401-6637
Phone (573) 603-1460

Other practice location 5

1 Healthcare Pl
Bowling Green, MO 63334-3602
Phone (573) 603-1460

Other practice location 6

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700

Other practice location 7

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

Other practice location 8

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20211202000649 MO Practitioner - Nurse Practitioner 9234472101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Family Healthcare IncGroup PAC ID 0244256246, 58 clinicians

Practice addresses (Care Compare)

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

235 Progress Rd
Hannibal, MO 63401-6637
Phone (573) 603-1460

3531 Stardust Dr
Hannibal, MO 63401-6224
Phone (573) 603-1460

3557 Stardust Dr
Hannibal, MO 63401-6224
Phone (573) 603-1460

4355 Paris Gravel Rd
Hannibal, MO 63401-6017
Phone (573) 248-3811

4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Family Healthcare, Inc. CurrentSince Aug 5, 2021 Accepting new patients
Preferred Family Healthcare, Inc Current Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Aug 5, 2021 Accepting new patients

Locations

1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111

141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342

235 Progress Rd
Hannibal, MO 63401
Phone (573) 603-1462

3531 Stardust Dr
Hannibal, MO 63401
Phone (573) 248-3900

900 E Laharpe St
Kirksville, MO 63501

1601 Old South River Rd
Saint Charles, MO 63303
Phone (636) 224-1202

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

116 W 7th Ave
Ste 222
Stillwater, OK 74074
Phone (405) 743-2945

6440 S Lewis Ave
Ste 2200
Tulsa, OK 74136
Phone (888) 882-0859

Interoperability endpoints

  • Direct secure messaging: dianna.phares.p1@direct.pfh.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1922335769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 CROSSHAVEN CT",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633040500",
            "telephone_number": "314-503-4052",
            "fax_number": "636-498-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 CROSSHAVEN CT",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633040500",
            "telephone_number": "314-503-4052",
            "fax_number": "636-498-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Progress Rd",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016637",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthcare Pl",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633343602",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013670",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Progress Rd",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016637",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthcare Pl",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633343602",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4066 Dunnica Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631163510",
            "country_code": "US",
            "telephone_number": "636-224-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013670",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "fax_number": "573-603-1462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4066 Dunnica Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631163510",
            "country_code": "US",
            "telephone_number": "636-224-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARES",
        "first_name": "DIANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, DNP, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-16",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "137634",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "137634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.