Individual provider Active NPI

Diane L Parrett, DO

  • Family Medicine Physician
  • Norton Shores, MI
National Provider Identifier
1952388563
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012829 Issued in MI
Practice address
6207 Harvey St Ste a
Norton Shores, MI 49444-7861
Phone
(231) 672-2230
Fax
(231) 672-2231
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 5101012829 MI
Family Medicine Physician 207Q00000X 5101012829 MI Primary

Addresses

Primary practice location

6207 Harvey St Ste a
Norton Shores, MI 49444-7861

Mailing address

PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-4444

Other practice location 1

14 N 3rd Ave
Fruitport, MI 49415-8942
Phone (231) 672-2230

Other practice location 2

3570 Henry St
Norton Shores, MI 49441-4563
Phone (231) 370-1286

Other identifiers 1

IdentifierTypeStateIssuer
4290704MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526001119 MI Practitioner - Family Practice 9032248257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Health Services CorporationGroup PAC ID 2466351440, 1,149 clinicians

Practice addresses (Care Compare)

1471 E Beltline Ave NE
Suite 202
Grand Rapids, MI 49525-4548
Phone (616) 410-7701

1670 E Sherman Blvd
Suite 100
Muskegon, MI 49444-1863
Phone (231) 672-3600

2006 Holton Rd
Suite 500
Muskegon, MI 49445-1505
Phone (231) 370-1280

2305 Genoa Bus Park Dr
Brighton, MI 48114-7005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012829MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Jan 6, 2025 Accepting new patients
Iha Health Services Corporation CurrentSince Jan 6, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1952388563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431848",
            "telephone_number": "231-727-4444",
            "fax_number": "231-728-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 HARVEY ST STE A",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447861",
            "telephone_number": "231-672-2230",
            "fax_number": "231-672-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Fruitport",
            "state": "MI",
            "postal_code": "494158942",
            "country_code": "US",
            "telephone_number": "231-672-2230",
            "fax_number": "231-672-2231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3570 Henry St",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494414563",
            "country_code": "US",
            "telephone_number": "231-370-1286",
            "fax_number": "231-370-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRETT",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5101012829",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4290704",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.