SALLY MAE SHULL-DIENER CNP
NPI 1629028477
Nurse Practitioner in Toledo, OH

NPI Status: Active since May 11, 2006

Contact Information

4640 W ALEXIS RD
TOLEDO, OH
ZIP 43623
Phone: (419) 843-8150
Fax: (419) 479-2579

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  • Individual
  • Female
  • Nurse Practitioner

About SALLY SHULL-DIENER

This page provides the complete NPI Profile along with additional information for Sally Shull-diener, a provider established in Toledo, Ohio with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1629028477 assigned on May 2006. The practitioner's primary taxonomy code is 363L00000X with license number NP08368 (OH). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1629028477
Provider Name
SALLY MAE SHULL-DIENER CNP
Gender
Female
Entity Type
Individual
Location Address
4640 W ALEXIS RD TOLEDO, OH 43623
Location Phone
(419) 843-8150
Location Fax
(419) 479-2579
Mailing Address
4640 W ALEXIS RD TOLEDO, OH 43623
Mailing Phone
(419) 843-8150
Mailing Fax
(419) 479-2579
Is Sole Proprietor?
No
Enumeration Date
05-11-2006
Last Update Date
03-29-2011
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A nurse practitioner (NP) like Sally Shull-diener is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
NP08368
License State
OH
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
$$$$$$$$$-001OTHER (01)OHMMOH
$$$$$$$$$-003OTHER (01)OHMMOH
SHNP19553MEDICARE PIN (08)OH 
000000475788OTHER (01)OHANTHEM
PENDINGOTHER (01)OHANTHEM
P00301721OTHER (01)OHRRMC
2614559MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629028477
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26490216414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 2 + 1 + 6 + 4 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1629028477 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013915289 TIMOTHY B HACKER MD
Individual
Internal Medicine4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 843-8150
1528051455 EUGENIA J ILO DO
Individual
Internal Medicine4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 843-8150
1588767958DR. CHARLES ELLIOT LATHAM DDS
Individual
Dentist4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 471-1208
1407106925HACKER, HOPPLE, GROSSMAN, WENZKE MEDICAL GROUP, INC.
Organization
Internal Medicine4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 843-8186
1316088735PROMEDICA CENTRAL PHYSICIANS, LLC
Organization
Internal Medicine4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 843-8150
1700110251MS. NANCY LYNN GILMAN AU.D.
Individual
Audiologist4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1871692996ENT PHYSICIANS INC
Organization
Otolaryngology4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1982601571MS. NICOLE M. KANE C.N.P.
Individual
Nurse Practitioner (Family)4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1083018501 LIESA A DAVIS NP-C
Individual
Nurse Practitioner (Family)4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1114920378DR. AFSER SHARIFF M.D.
Individual
Otolaryngology4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1285155986 KAITLIN E HANUS CNP
Individual
Nurse Practitioner (Family)4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1790786671DR. VINCENT S TOMA M.D.
Individual
Otolaryngology4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324
1053834564DR. DAVID NEVILLE AU. D.
Individual
Audiologist4640 W ALEXIS RD
TOLEDO, OH 43623
(419) 474-9324

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629028477, enumerated in the NPI registry as an "individual" on May 11, 2006

The provider is located at 4640 W Alexis Rd Toledo, Oh 43623 and the phone number is (419) 843-8150

The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare, Medicaid and Anthem Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.