Active NPI
Diane Dabit Sackleh, ARPN
- Psychiatric/Mental Health Nurse Practitioner
- Winchester, KY
National Provider Identifier
1992846679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1079744
- Practice address
- 26 N Highland St
Winchester, KY 40391-2024 - Phone
- (859) 253-1686
- Fax
- (859) 254-2743
- NPI assigned
- Feb 8, 2007
- Last updated
- Jul 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1079744 | KY | Primary |
Addresses
Primary practice location
26 N Highland St
Winchester, KY 40391-2024
Mailing address
1351 Newtown Pike
Lexington, KY 40511-1217
Phone (859) 253-1686
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1079744 | KY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1992846679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111217",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 N HIGHLAND ST",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403912024",
"telephone_number": "859-253-1686",
"fax_number": "859-254-2743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACKLEH",
"first_name": "DIANE",
"middle_name": "DABIT",
"name_prefix": "Mrs.",
"credential": "ARPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KY",
"license": "1079744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.