DIANE MARIE KETTERLING (NPI# 1215554100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215554100 |
| Entity Type | Individual |
| Full Name | DIANE MARIE KETTERLING |
| Practice Address |
439 Ashwood Bnd Lufkin TX 75904-0497 |
| Practice Telephone | 9366661088 |
| Mailing Telephone | 9366661088 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | TX | Agencies |
| Street Address |
439 ASHWOOD BND |
| City | LUFKIN |
| State | TX |
| Zip Code | 75904-0497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759750 | David Kent Emmerling | Pharmacist | Walmart Pharmacy 10-0140, 2500 Daniel Mccall Drive, Lufkin, TX 75904 | 2020-10-27 |
| 1831732718 | Isaac Kwame Agyare | Pharmacist | 1522 West Frank Ave. Room 127, Lufkin, TX 75904 | 2019-10-23 |
| 1598314999 | Eva Faye Mcduffie | Technician | 1006 Sherwood Rd., Lufkin, TX 75904 | 2019-09-09 |
| 1477036119 | Tyra Williams | Occupational Therapy Assistant | 902 Hill Street, Lufkin, TX 75904 | 2018-09-10 |
| 1720560188 | Veronica Monique Kennedy | Pharmacist | 1522 West Frank, Lufkin, TX 75904 | 2018-09-02 |
| 1356821532 | Mark Anthony Plowman | Licensed Vocational Nurse | 379 Copperfield Loop, Lufkin, TX 75904 | 2018-08-17 |
| 1396222311 | Kevin Pulikottil Cherian | Occupational Therapist | 402 S John Redditt Dr., Lufkin, TX 75904 | 2018-07-23 |
| 1922593029 | Sarah Marie Stuart | Dentist | 103 N Brentwood Dr, Unit 400, Lufkin, TX 75904 | 2018-06-30 |
| 1083104004 | Pam Specialty Hospital of Lufkin, LLC | Long Term Care Hospital | 1201 W Frank Ave Ste D5, Lufkin, TX 75904 | 2018-05-15 |
| 1124523840 | Jane C Davidson | Nurse Practitioner | 1 Medical Center Blvd Ste C, Lufkin, TX 75904 | 2018-03-26 |
| Find all providers in zip 75904 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124677554 | P-cg LLC Dba Pineywoods Medical Billing | Home Health | 415 S 1st St Ste 300, Lufkin, TX 75901-3800 | 2019-09-09 |
| 1821548009 | All About Caring, LLC | Home Health | 2718 S Medford Dr Ste A, Lufkin, TX 75901-6122 | 2016-10-11 |
| 1467802389 | Margo Personal Care Enterprises Inc | Home Health | 1249 Edgewood Cir, Lufkin, TX 75904-7576 | 2016-06-21 |
| 1124312285 | Angel's Choice Home Health Professionals, LLC | Home Health | 911 E Lufkin Ave, Lufkin, TX 75901-0435 | 2011-06-07 |
| 1417246679 | Accentcare, Inc. | Home Health | 2802 S 1st St, Lufkin, TX 75901-7108 | 2011-03-28 |
| 1851697791 | Act Venture Inc. | Home Health | 395 Tillman Rd, Lufkin, TX 75901-5436 | 2011-02-09 |
| 1295038982 | Statewide Healthcare LLC | Home Health | 702 Andrews Ave, Lufkin, TX 75901-3302 | 2010-12-17 |
| 1255641445 | J K and M Enterprise, LLC | Home Health | 604 Morrow St, Lufkin, TX 75904-4626 | 2010-10-21 |
| 1659687234 | Amedisys Texas LLC | Home Health | 211 E Shepherd Ave, Suite 107, Lufkin, TX 75901-3045 | 2010-08-20 |
| 1821232448 | Preferred Home Health, Lp | Home Health | 1607 S Chestnut St Ste K, Lufkin, TX 75901-5895 | 2009-04-27 |
| Find all providers in LUFKIN | ||||
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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.