Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
DIANE ANDERSON RN CDE
NPI 1154324614
Registered Nurse - Diabetes Educator in Deadwood, SD
Active since May 27, 2005
About Diane Anderson Rn Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIANE ANDERSON RN CDE (NPI 1154324614) is an individual diabetes educator provider in Deadwood, South Dakota, licensed in South Dakota (R012358) and active in the NPI registry since May 2005.
NPPES Registry Identity
NPI1154324614
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameDIANE ANDERSONCredential: RN CDE
Location Address71 CHARLES STDeadwood, SD 57732-1303
Mailing Address71 Charles StDeadwood, SD 57732-1303 · (605) 578-2364 · Fax (605) 719-6470
Phone(605) 578-2364
Fax(605) 719-6470
Sole ProprietorNo
Enumeration DateMay 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1154324614 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in SD · R012358
71 CHARLES ST, Deadwood, SD 57732
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Durable Medical Equipment & Medical Supplies
71 CHARLES ST
DEADWOOD, SD 57732
DEADWOOD, SD 57732
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154324614, enumerated as an "individual" on May 27, 2005.
The provider is located at 71 CHARLES ST DEADWOOD, SD 57732 and the phone number is (605) 578-2364.
Registered Nurse with taxonomy code 163WD0400X and a focus in Diabetes Educator.