Individual provider Active NPI

Rochelle Junie Brewster-Diallo, PMHNP

  • Psychiatric/Mental Health Registered Nurse
  • Avon, IN
National Provider Identifier
1972419158
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
28208708A Issued in IN
Practice address
1371 Longleaf St
Avon, IN 46123-7199
Phone
(463) 312-4200
NPI assigned
Aug 19, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 28208708A IN Primary

Addresses

Primary practice location

1371 Longleaf St
Avon, IN 46123-7199

Mailing address

1371 Longleaf St
Avon, IN 46123-7199
Phone (463) 312-4200

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

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1972419158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 LONGLEAF ST",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237199",
            "telephone_number": "463-312-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 LONGLEAF ST",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237199",
            "telephone_number": "463-312-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWSTER-DIALLO",
        "first_name": "ROCHELLE",
        "middle_name": "JUNIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IN",
            "license": "28208708A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.