Diane Jeane Disabatino, APN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

LJ-0000158 Issued in DE

Practice address

963 Centre Rd
New Castle County Detention Medical
Wilmington, DE 19805-1268

Phone

(302) 633-3121

Fax

(302) 633-3147

NPI assigned

May 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942413448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 CENTRE RD",
            "address_2": "NEW CASTLE COUNTY DETENTION MEDICAL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051268",
            "telephone_number": "302-633-3121",
            "fax_number": "302-633-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 CENTRE RD",
            "address_2": "NEW CASTLE COUNTY DETENTION MEDICAL",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051268",
            "telephone_number": "302-633-3121",
            "fax_number": "302-633-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISABATINO",
        "first_name": "DIANE",
        "middle_name": "JEANE",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ-0000158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Pediatric Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.