1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Licensed Practical Nurse
  6. NPI Profile

DIAMOND COMMODORE LPN
NPI 1811656317
Licensed Practical Nurse in Cincinnati, OH

Active since December 12, 2021
73 BISHOPSGATE DR APT 306, CINCINNATI, OH 45246(513) 485-2513 Get Directions Write a Review

NPPES record last updated: December 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diamond Commodore Lpn NPPES

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

DIAMOND COMMODORE LPN (NPI 1811656317) is an individual licensed practical nurse in Cincinnati, Ohio, licensed in Ohio (163571) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1811656317
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDIAMOND COMMODORECredential: LPN
Location Address73 BISHOPSGATE DR APT 306Cincinnati, OH 45246-4362
Mailing Address73 Bishopsgate Dr Apt 306Cincinnati, OH 45246-4362 · (513) 485-2513
Phone(513) 485-2513
Sole ProprietorYes
Enumeration DateDecember 12, 2021
NPPES CertifiedDecember 12, 2021
✔ NPI 1811656317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in OH · 163571
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
73 BISHOPSGATE DR APT 306, Cincinnati, OH 45246
Open in Google Maps ↗

Other Identifiers 1

Other163571OH · Private Pay

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Diamond Commodore's NPI number?

The NPI number for Diamond Commodore is 1811656317. It was assigned to this individual provider in the NPPES registry on December 12, 2021.

Where is Diamond Commodore located?

Diamond Commodore practices at 73 Bishopsgate Dr Apt 306, Cincinnati, OH 45246. The listed phone number is (513) 485-2513.

What is Diamond Commodore's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Diamond Commodore was last updated on December 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.