SUSAN CLARE DIAGANA (NPI# 1396899076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396899076 |
| Entity Type | Individual |
| Full Name | SUSAN CLARE DIAGANA |
| Credential | APRN |
| Practice Address |
6021 Kentucky Ave Indianapolis IN 46221-9701 |
| Practice Telephone | 3178565565 |
| Practice Fax Number | 3178561202 |
| Mailing Telephone | 3178565565 |
| Mailing Fax Number | 3178561202 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71002324 | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6021 KENTUCKY AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46221-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356326763 | Clarence Henry Thomas | Family Medicine | 6021 Kentucky Ave, Indianapolis, IN 46221 | 2005-12-08 |
| 1801161591 | Angela Robinson | Nurse Practitioner | 6021 Kentucky Ave, Indianapolis, IN 46221-9701 | 2012-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598957474 | Kim M Malicoat | Occupational Therapy Assistant | 5019 Emmert Drive, Indianapolis, IN 46221 | 2007-08-14 |
| 1811066715 | Sarah A Wilson | Dentist | 3715 Kentucky Av, Suite B, Indianapolis, IN 46221 | 2006-11-06 |
| 1619074812 | Clarence H Thomas Md LLC | Family Medicine | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-09-20 |
| 1740443027 | Stacey Anne Ulery | Physical Therapy Assistant | 4851 Tincher Rd, Indianapolis, IN 46221 | 2008-07-07 |
| 1215019401 | Carol June Kauffman | Nurse Practitioner | 6021 Kentucky Avenue, Indianapolis, IN 46221 | 2006-10-19 |
| 1922096734 | William Vanosdol | Pediatrics | 2202 W Morris St, Indianapolis, IN 46221-1404 | 2005-10-06 |
| 1447644638 | Peter Rentsch | Specialist/Technologist | 1336 Shepard St, Indianapolis, IN 46221-1528 | 2015-03-25 |
| 1881681682 | Kathleen Anne Cohenour | Internal Medicine | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2005-10-05 |
| 1053956987 | Tracy L Morrison | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2019-11-14 |
| 1922544584 | Lori S. Fishburn | Nurse Practitioner | 1522 W Morris St, Indianapolis, IN 46221-1629 | 2017-01-06 |
| Find all providers in zip 46221 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244176 | Mallory Lee Anslow | Nurse Practitioner | 10641 Deercrest Ln, Indianapolis, IN 46239-9690 | 2020-10-29 |
| 1922614965 | Children Express Care Clinic LLC | Nurse Practitioner | 5435 Emerson Way Ste 110, Indianapolis, IN 46226-1470 | 2020-09-16 |
| 1255956272 | Heather Nicole Zore | Nurse Practitioner | 9240 N Meridian St Ste 225, Indianapolis, IN 46260-1880 | 2020-06-15 |
| 1457976615 | Adam Weir | Nurse Practitioner | 960 E Washington St, Indianapolis, IN 46202-3981 | 2020-06-13 |
| 1457975740 | Ayee Teah Bleemie | Nurse Practitioner | 429 E Vermont St Ste 100, Indianapolis, IN 46202-3688 | 2020-06-02 |
| 1689294357 | May Josefa Ishikawa | Nurse Practitioner | 705 Riley Hospital Dr Ste 2240, Indianapolis, IN 46202-5109 | 2020-04-22 |
| 1760001200 | John Shaver | Nurse Practitioner | 3750 N Meridian St Ste 100, Indianapolis, IN 46208-4300 | 2020-04-14 |
| 1851931000 | Robin L Petit | Nurse Practitioner | 6925 S Harding St Ste B-1, Indianapolis, IN 46217-4114 | 2020-01-15 |
| 1952941577 | Andreya Beckett | Nurse Practitioner | 3500 Depauw Blvd Ste 1041, Indianapolis, IN 46268-6125 | 2020-01-11 |
| 1053950105 | Shannon Malecki | Nurse Practitioner | 550 University Blvd Ste 5630, Indianapolis, IN 46202-5149 | 2020-01-06 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46221 |
Please comment or provide details below to improve the information on SUSAN CLARE DIAGANA.
| 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.