DIANE ANDERSON RN CDE NPI 1154324614

NPI Information

  • NPI: 1154324614
  • Provider Name: DIANE ANDERSON, RN CDE
  • Classification: Registered Nurse - 163WD0400X
  • Specialization: Diabetes Educator
  • Entity Type: Individual
  • Address: 71 CHARLES ST
    DEADWOOD, SD
    ZIP 57732
  • Phone: (605) 578-2364

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NPI Details

Diane Anderson, RN CDE is a diabetes educator registered nurse in Deadwood, SD. Diane Anderson, RN CDE NPI is 1154324614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

71 CHARLES ST
DEADWOOD, SD
ZIP 57732-303
Phone: (605) 578-2364
Fax: (605) 719-6470

The enumeration date for this NPI number is 5/27/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WD0400XRegistered NurseDiabetes EducatorR012358SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15590010MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA
207802MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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