DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC (NPI# 1235320540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235320540 |
| Entity Type | Organization |
| Organization Name | DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC |
| Practice Address |
6910 North Main St Building 9 Granger IN 46530 |
| Mailing Address |
6910 North Main Street Bldg. 9, Mail Unit #10 Granger IN 46530 |
| Practice Telephone | 5742476047 |
| Practice Fax Number | 5742476060 |
| Mailing Telephone | 5742476047 |
| Mailing Fax Number | 5472476060 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | BONITA A RAINE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5742476047 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
28071850A | IN | Nursing Service Providers |
| Street Address |
6910 NORTH MAIN ST BUILDING 9 |
| City | GRANGER |
| State | IN |
| Zip Code | 46530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821610783 | Michiana Weight Loss and Wellness Clinic LLC | Internal Medicine | 14304 Sr 23, Granger, IN 46530 | 2020-05-14 |
| 1609427921 | Stephen J Armet | Physical Therapist | 16733 Saratoga Ct, Granger, IN 46530 | 2019-09-27 |
| 1881177756 | Memorial Hospital of South Bend | General Acute Care Hospital | 3220 Beacon Parkway, Granger, IN 46530 | 2018-09-07 |
| 1922483635 | Kiley Ramer | Behavioral Analyst | 6910 N Main St Bldg 13c51, Granger, IN 46530 | 2015-07-23 |
| 1326439415 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 625 E University Dr., Granger, IN 46530 | 2015-02-10 |
| 1811302094 | Costco Wholesale Corporation | Pharmacy | 625 E. University Drive, Granger, IN 46530 | 2014-06-25 |
| 1255773255 | Tracy Joyce Abel | Behavioral Analyst | 12042 Covered Wagon Court, Granger, IN 46530 | 2013-07-19 |
| 1225376304 | George Youssef | Internal Medicine | 5610 Town Center Drive #14, Granger, IN 46530 | 2013-01-23 |
| 1033489596 | Rene Raul Arce Guarnaluse | Homeopath | Emilio Bayarri 50, Puzol, VALENCIA 46530 | 2011-12-30 |
| 1568747368 | Ranya Bouzou-kadi | Pharmacist | 13060 Adams, Granger, IN 46530 | 2011-10-13 |
| Find all providers in zip 46530 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873682 | Shelley E Kestler | Registered Nurse | One Memorial Square, Suite 2200, Greenfield, IN 46140-1378 | 2020-05-22 |
| 1588175921 | Darla Jean Healy | Registered Nurse | 6330 E 75th St Ste 174, Indianapolis, IN 46250-2781 | 2017-10-12 |
| 1417474214 | Sherry Lynn Doherty | Registered Nurse | 1855 S Main St Ste C, Goshen, IN 46526-4853 | 2017-08-23 |
| 1588184139 | Kim Diaz | Registered Nurse | 5717 S Anthony Blvd Ste 200, Fort Wayne, IN 46806-3300 | 2017-06-26 |
| 1679939078 | Emily Walker | Registered Nurse | 100 Tharp Street Suite B, Washington, IN 47501 | 2016-01-14 |
| 1235502774 | Hook-superx, L.L.C. | Registered Nurse | 600 E Boonville New Harmony Rd, Evansville, IN 47725 | 2015-11-05 |
| 1053732552 | Tracy Michelle Tucker | Registered Nurse | 2307 Laporte Ave Ste 8, Valparaiso, IN 46383-6997 | 2013-12-30 |
| 1144478165 | Linda Darlene Stroud | Registered Nurse | 1500 E Michigan St, Indianapolis, IN 46201-3079 | 2008-09-03 |
| 1043341696 | Margie Anne Hull | Registered Nurse | 1111 Middle Dr, Nu #446d, Indianapolis, IN 46202-5243 | 2007-03-07 |
| 1295761716 | Hook-superx, L.L.C. | Registered Nurse | 3700 1st Ave, Evansville, IN 47710-3324 | 2006-06-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC.
| 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.