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DIANA ICKES PTA
NPI 1669923496
Specialist/Technologist, Other in Riverview, FL

Active since October 17, 2016
11458 CAPTIVA KAY DR, RIVERVIEW, FL 33569(941) 812-8159 Get Directions Write a Review

NPPES record last updated: October 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diana Ickes Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA ICKES PTA (NPI 1669923496) is an individual specialist/technologist, other provider in Riverview, Florida, licensed in Florida (PTA17336) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1669923496
Entity TypeIndividualFemale
Primary Taxonomy246Z00000X
Provider Legal NameDIANA ICKESCredential: PTA
Location Address11458 CAPTIVA KAY DRRiverview, FL 33569-2057
Mailing Address11458 Captiva Kay DrRiverview, FL 33569-2057 · (941) 812-8159
Phone(941) 812-8159
Sole ProprietorNo
Enumeration DateOctober 17, 2016
✔ NPI 1669923496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, OtherTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246Z00000X
License✔ Licensed in FL · PTA17336
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
11458 CAPTIVA KAY DR, Riverview, FL 33569
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diana Ickes's NPI number?

The NPI number for Diana Ickes is 1669923496. It was assigned to this individual provider in the NPPES registry on October 17, 2016.

Where is Diana Ickes located?

Diana Ickes practices at 11458 Captiva Kay Dr, Riverview, FL 33569. The listed phone number is (941) 812-8159.

What is Diana Ickes's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other with taxonomy code 246Z00000X.

When was this NPI record last updated?

The NPPES record for Diana Ickes was last updated on October 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.