Individual provider Active NPI

Diana Meseha

  • Family Nurse Practitioner
  • Carmel, IN
National Provider Identifier
1992582332
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71014283A Issued in IN
Practice address
2519 Heathermoor Park Dr S
Carmel, IN 46074-8240
Phone
(617) 849-0644
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71014283A IN Primary

Addresses

Primary practice location

2519 Heathermoor Park Dr S
Carmel, IN 46074-8240

Mailing address

2519 Heathermoor Park Dr S
Carmel, IN 46074-8240
Phone (617) 849-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001480 IN Practitioner - Nurse Practitioner 8325499445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71014283AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Miller DO, Facos, CWS, PC CurrentSince Apr 28, 2024 Accepting new patients

Locations

3850 Shore Dr
Ste 315
Indianapolis, IN 46254
Phone (317) 429-0061

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1992582332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 HEATHERMOOR PARK DR S",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460748240",
            "telephone_number": "617-849-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 HEATHERMOOR PARK DR S",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460748240",
            "telephone_number": "617-849-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESEHA",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.