Individual provider Active NPI

Diana Reichbind, P.A.

  • Physician Assistant
  • Shelton, CT
National Provider Identifier
1982913455
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002479 Issued in CT
Practice address
2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416
Phone
(203) 538-5400
Fax
(203) 538-5327
NPI assigned
Oct 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002479 CT Primary

Addresses

Primary practice location

2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416

Mailing address

2 Ivy Brook Rd
Suite 213
Shelton, CT 06484-6416
Phone (203) 538-5400

Other names 1

  • Diana Mlynarski Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002479CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Naugatuck Valley Weight Loss Center LLC Past Accepting new patients
MW Wellness II, LLC Past Accepting new patients
MW Wellness VIII, LLC Past Accepting new patients
Saint Raphael Faculty Physicians Physician Assistant Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1982913455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD",
            "address_2": "SUITE 213",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-538-5400",
            "fax_number": "203-538-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 IVY BROOK RD",
            "address_2": "SUITE 213",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846416",
            "telephone_number": "203-538-5400",
            "fax_number": "203-538-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHBIND",
        "first_name": "DIANA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MLYNARSKI",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.