DIANNE JUNIOR (NPI# 1003806688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003806688 |
| Entity Type | Individual |
| Full Name | DIANNE JUNIOR |
| Credential | N.P. |
| Practice Address |
4444 W Bristol Rd Ste 150 Flint MI 48507 |
| Mailing Address |
4444 W Bristol Rd Ste 150 Flint MI 48507-3161 |
| Practice Telephone | 8102309500 |
| Practice Fax Number | 8102300169 |
| Mailing Telephone | 8102309500 |
| Mailing Fax Number | 8102300169 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704195342 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1125 S Linden Rd, Suite 700, Flint, MI 485324073 | 8107332011 | 8107323972 |
| Street Address |
4444 W BRISTOL RD STE 150 |
| City | FLINT |
| State | MI |
| Zip Code | 48507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285122713 | Lu Ying Hei | Nurse Practitioner | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2018-04-30 |
| 1851525802 | Barbara Lee Ciesliga | Internal Medicine | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2009-05-05 |
| 1396980330 | Amy Gene Zimmerman | Nurse Practitioner | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2008-12-04 |
| 1861456071 | Todd Alan Lockwitz | Internal Medicine | 4444 W Bristol Rd Ste 150, Flint, MI 48507-3161 | 2006-04-14 |
| 1003893330 | Russell Diponio | Internal Medicine | 4444 W Bristol Rd Ste 150, Flint, MI 48507 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639676919 | Amanda Kate Waltrip | Nurse Practitioner | 300 E 1st St Ste 201, Flint, MI 48502-1900 | 2018-04-12 |
| 1225567084 | Tara Ann Kalinowski | Nurse Practitioner | 2265 S Linden Rd Ste A, Flint, MI 48532-5408 | 2017-06-06 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| 1033596549 | Deosha Williams | Nurse Practitioner | 4203 Cayuga Trl, Flint, MI 48532-3581 | 2015-05-04 |
| 1649660606 | Venita Sharron Thornton | Nurse Practitioner | 1165 Linden Road, Flint, MI 48532 | 2015-01-29 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1235439142 | Paula M Anderson | Nurse Practitioner | 420 W Fifth Ave, Flint, MI 48503 | 2010-10-26 |
| 1386782381 | Genesys Integrated Group Practice PC | Nurse Practitioner | 307 E Court St, Flint, MI 48502-1611 | 2007-02-02 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.