| Diana Pereira, BSN, RN | |
| 
					15 Messimer Dr, Newark, OH 43055-1841  | |
| (220) 564-4677 | |
| (220) 564-1970 | 
| Full Name | Diana Pereira | 
|---|---|
| Gender | Female | 
| Speciality | Advanced Practice Midwife | 
| Location | 15 Messimer Dr, Newark, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1730837816 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | RN.381816 (Ohio) | Secondary | 
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary | 
| Entity Name | Licking Memorial Professional Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131  | 
| Entity Name | Columbus Neighborhood Health Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578985453 PECOS PAC ID: 3678469129 Enrollment ID: O20140721000618  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Diana Pereira, BSN, RN 15 Messimer Dr, Newark, OH 43055-1841 Ph: (220) 564-4677  | Diana Pereira, BSN, RN 15 Messimer Dr, Newark, OH 43055-1841 Ph: (220) 564-4677  | 
Jennifer Mary Hughes,  Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4677  | |
Andrea Montana Lewis, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4677  | |
Loretta Long, NMW Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4691 Fax: 220-564-1975  | |
Erica L Brown,  Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4672 Fax: 220-564-1970  | |
Tanisha Dilo, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 15 Messimer Dr, Newark, OH 43055 Phone: 220-564-4677 Fax: 220-564-4678  |