JULIE L DIETERMAN (NPI# 1194958330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194958330 |
| Entity Type | Individual |
| Full Name | JULIE L DIETERMAN |
| Credential | RN, CNOR, RNFA |
| Practice Address |
1604 Visa Dr Ste 1 Normal IL 61761-2195 |
| Practice Telephone | 3098464716 |
| Mailing Telephone | 3098464716 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
041.263681 | IL | Nursing Service Providers |
| Street Address |
1604 VISA DR STE 1 |
| City | NORMAL |
| State | IL |
| Zip Code | 61761-2195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467583955 | Neuromonitoring Service LLC | Physical Medicine & Rehabilitation | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2007-03-08 |
| 1063012789 | Heston J Allred | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2020-10-30 |
| 1821607284 | Korine M Tatroe | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2020-07-30 |
| 1154961092 | Desiree A Padilla | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2020-01-08 |
| 1538714191 | Douglas S Holt | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2019-08-09 |
| 1942746185 | Marlon Pemberton | Spec/Tech, Pathology | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2017-01-11 |
| 1316204266 | Sidney E Kessinger | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2012-04-17 |
| 1962706275 | Shawna Summers | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2010-12-29 |
| 1639471113 | Stephanie Sprague | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2010-12-03 |
| 1740414648 | Rosalie Ann Reason | Specialist/Technologist, Other | 1604 Visa Dr Ste 1, Normal, IL 61761-2195 | 2009-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681796 | Brittany Nicole Mekley | Nurse Practitioner | 201 N. University, Normal, IL 61761 | 2020-08-28 |
| 1679108971 | Krystal Halliday | Occupational Therapist | 1815 N Towanda Barnes Rd, Normal, IL 61761 | 2020-03-06 |
| 1265915474 | Laine E Burek | Nurse Practitioner | 1765 Bradford Ln., Normal, IL 61761 | 2018-09-13 |
| 1801389986 | Ashley Michelle James | Specialist/Technologist | 347 S. University St, Normal, IL 61761 | 2018-06-12 |
| 1447750708 | Shelley R. Ruch | Specialist/Technologist, Other | 1604 Visa Drive, Ste 1, Normal, IL 61761 | 2018-02-13 |
| 1497275069 | Mclean County Nursing Home | Non-emergency Medical Transport (VAN) | 901 N. Main St, Normal, IL 61761 | 2017-06-23 |
| 1235673666 | Megan Threm | Registered Nurse | 900 Franklin Ave Community Health Care Clinic, Normal, IL 61761 | 2016-12-04 |
| 1437513553 | Tiesha Smith | Specialist | 1800 Rockingham Dr, Apt 1d, Normal, IL 61761 | 2016-04-06 |
| 1285031658 | New Day Recovery | Community/Behavioral Health | 402 Summit, Normal, IL 61761 | 2014-12-01 |
| 1174927701 | Alyssa Marie Bruck | Occupational Therapist | 700 N Walnut St, Normal, IL 61761 | 2014-10-10 |
| Find all providers in zip 61761 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447631239 | Michael A Hoeft | Registered Nurse | 1604 Visa Dr., Ste 2, Normal, IL 61761 | 2015-06-17 |
| 1295093649 | Rhonda Farley | Registered Nurse | 1604 Visa Dr, Suite 1, Normal, IL 61761-2195 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356830681 | Anna Wiktoria Siepierska | Registered Nurse | 4220 W 95th St Ste 1000, Oak Lawn, IL 60453-2793 | 2018-05-02 |
| 1588040349 | Dana Young | Registered Nurse | 104 E Ashland Ave, Mt Zion, IL 62549-1271 | 2015-08-04 |
| 1700288115 | Susan Jean Brach | Registered Nurse | 393 South Williams Road, Inverness, IL 60067-4559 | 2014-09-17 |
| 1801298302 | Kim Opalacz | Registered Nurse | 17613 71st Ave, Tinley Park, IL 60477-3817 | 2014-09-16 |
| 1972843175 | Surgical Assistant Innovations, LLC | Registered Nurse | 1236 Shagbark Ct, Fox Lake, IL 60020-0806 | 2013-02-25 |
| 1386914430 | Barbara Sue Giffin | Registered Nurse | 305 W. Jackson Suite 402, Carbondale, IL 62901 | 2012-01-06 |
| 1255612537 | Jeanine Marie Tackla | Registered Nurse | 924 Burnham Ct, Glenview, IL 60025-4140 | 2011-08-31 |
| 1760623664 | Gerise M. Martinez | Registered Nurse | 8955 N 1000w Rd, Manteno, IL 60950-3587 | 2009-03-23 |
| 1518119650 | Shauna L Bostian | Registered Nurse | 12 Park Pl Ste B, Swansea, IL 62226-2923 | 2008-10-21 |
| 1194973636 | Janis Clare Jurkus | Registered Nurse | 5802 Staunton Rd, Edwardsville, IL 62025-6322 | 2008-09-08 |
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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.