DIANE ANDERSON NP NPI 1548283062

NPI Information

  • NPI: 1548283062
  • Provider Name: DIANE ANDERSON, NP
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 1676 VIEWPOND DR SE
    SUITE 100A
    KENTWOOD, MI
    ZIP 49508
  • Phone: (616) 455-9450

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NPI Details

Diane Anderson, NP is a nurse practitioner in Kentwood, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Diane Anderson, NP NPI is 1548283062. 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:

1676 VIEWPOND DR SE
SUITE 100A
KENTWOOD, MI
ZIP 49508-994
Phone: (616) 455-9450
Fax: (616) 455-5221

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/15/2010.

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
1363L00000XNurse Practitioner4704101913MICHIGANYes

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
14849371MEDICAIDMICHIGAN
20P28470MEDICARE PIN
31598853608OTHERGROUP NPI - JOHN N CAMPBELL MD PC

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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