April E Diles, FPMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Lowville, NY
NPI 1972852069 · NPPES record last updated Apr 4, 2016
Key facts
- NPI
- 1972852069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 401513 (NY)
- Practice address
- 7550 S State Street
North Country Transitional Living Services Inc
Lowville, NY 13367-1533 - Phone
- (315) 376-5450
- Fax
- (315) 376-7221
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140310001781 | NY | Practitioner - Nurse Practitioner | 3173753381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 401513 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 401513 | NY | Yes |
Addresses
Primary practice location
7550 S State Street
North Country Transitional Living Services Inc
Lowville, NY 13367-1533
Mailing address
7550 S State Street
North Country Transitional Living Services Inc
Lowville, NY 13367-1533
Phone (315) 376-5450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03685581 | Medicaid | NY | |
| 401513 | Other | NY | NURSE PRACTITIONER LICENSE NUMBER |
Other providers in Lowville, NY
- Daniel T Root, M.D.
- Harleen Davies
- Amy S Deavers
- Kathy H Der
- Traci Dewan
- Megan K Dolhof
- Cathy Ann Dosztan
- Mattea Breeze Dunn-Mahar
- Frederick Lee Dutton
- James L Dyer
All providers in Lowville, NY · Psychiatric/Mental Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.