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Active NPI 1104894971 Individual Practitioner Female Practitioner

Diana J Stidham , CPNP

Nurse Practitioner - Pediatrics • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Diana Stidham, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Cincinnati, OH. Practice services are available at 400 E MARTIN LUTHER KING BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 E Martin Luther King Blvd

Cincinnati, OH 45229

Telephone 5138617313

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Cincinnati, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.1 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
118 Specialists

Practicing in Cincinnati, OH (1102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OH RN-197978

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2357051 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jennifer Russell , CPNP

Nurse Practitioner - Pediatrics

NPI 1649375981

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 400 E MARTIN LUTHER KING BLVD, CINCINNATI, OH 45229 (Tel: 5138617313)

📍
Updated Business Mailing Address July 08, 2007

Registered at 5873 SIGMON WAY, FAIRFIELD, OH 450144847 (Tel: 5138290692)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIANA STIDHAM, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #RN-197978 in OH)

🟢
Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104894971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

5873 Sigmon Way

Fairfield, OH 450144847

Phone: 5138290692

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.