Active NPI
Diane Daddario
- Adult Health Nurse Practitioner
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- SP013995
- Practice address
- 1100 Grampian Blvd
Williamsport, PA 17701-1907 - Phone
- (570) 320-7680
- NPI assigned
- Apr 16, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP025408 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | SP013995 | PA | Primary |
Addresses
Primary practice location
1100 Grampian Blvd
Williamsport, PA 17701-1907
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | upmchospitals@upmcdirect.com | UPMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP013995 | PA | MD | Adult Health Nurse Practitioner |
| SP025408 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Nursing Service of Clinton County Inc | Current | Accepting new patients | |
| Ih Physician Services, PC | Current | Accepting new patients | |
| Ih Physician Services PC | Current | Accepting new patients | |
| Ih Physician Services PC | Current | Accepting new patients | |
| Psychogeriatric Services LLC | Current | Accepting new patients | |
| Vna Health System | Current | Accepting new patients | |
| Visiting Nurse Association of Central PA Inc | Past | Accepting new patients | |
| Centre Homecare Inc | Past | Accepting new patients | |
| Community Nursing Service of Clinton County, Inc. | Past | Accepting new patients |
Locations
12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873
595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249
2090 Linglestown Rd
Ste 202
Harrisburg, PA 17110
Phone (717) 265-8883
146 E King St
Lancaster, PA 17602
Phone (302) 990-2323
124 Woodward Ave
Lock Haven, PA 17745
Phone (570) 748-8511
21 W Independence St
Shamokin, PA 17872
Phone (570) 648-8989
Organizations & group practices 11
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.
-
- Home Health Agency
- Lock Haven, PA
- NPI 1255328191
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Bala Cynwyd, PA
- NPI 1164233631
-
- Home Health Agency
- Shamokin, PA
- NPI 1386631216
-
- Home Health Agency
- State College, PA
- NPI 1093702938
-
- Home Health Agency
- Harrisburg, PA
- NPI 1619088416
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Harrisburg, PA
- NPI 1609600345
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1770469389
-
- Community Based Hospice Care Agency
- State College, PA
- NPI 1053393447
-
- Home Health Agency
- Lock Haven, PA
- NPI 1952379067
-
- Community Based Hospice Care Agency
- Harrisburg, PA
- NPI 1437254893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1962769851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011907",
"telephone_number": "570-320-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DADDARIO",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-16",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP025408",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP013995",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "upmchospitals@upmcdirect.com",
"affiliation": "Y",
"affiliationName": "UPMC",
"address_1": "600 Grant St",
"address_2": "Floor 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.