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DIANE K NIESE CNP NPI 1245395870


NPI Information

NPI: 1245395870
Provider Name: DIANE K NIESE, CNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Organization: COMPREHENSIVE BEHAVIORAL HEALTH SERVICES LLC

PECOS Registration: Yes

Address:
2770 CENTENNIAL RD
5 NORTH PEDS
TOLEDO, OH
ZIP 43617
Phone: (419) 794-0567
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Diane K Niese, CNP is a pediatrics nurse practitioner in Toledo, OH with 38 years of experience. Diane K Niese, CNP NPI is 1245395870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1986

The provider's business location address is:

2770 CENTENNIAL RD
5 NORTH PEDS
TOLEDO, OH
ZIP 43617-829
Phone: (419) 794-0567
Fax: (419) 794-0569

The NPI 1245395870 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 3/25/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0200XNurse PractitionerPediatricsRN205722OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000508160OTHEROHIOANTHEM
22729659MEDICAIDOHIO
3NINP80531MEDICARE PINOHIO
4Q76242MEDICARE UPIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.