DIANE C. JAKINS (NPI# 1457543183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543183 |
| Entity Type | Individual |
| Full Name | DIANE C. JAKINS |
| Credential | ACNP |
| Practice Address |
400 Security Sq Gulfport MS 39507-1932 |
| Practice Telephone | 2288651330 |
| Practice Fax Number | 2288651331 |
| Mailing Telephone | 2288651330 |
| Mailing Fax Number | 2288651331 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2013-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R772563 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01282761 | 05 |
| Street Address |
400 SECURITY SQ |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497179063 | Samantha Steinwinder | Nurse Practitioner | 400 Security Sq, Gulfport, MS 39507-1932 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1710209184 | Amy Alyssa Simpson-waid | Nurse Practitioner | 11334 Peyton Dr, Gulfport, MS 39503 | 2010-02-25 |
| 1306409040 | Lissa Kelly Baber | Nurse Practitioner | 1340 Broad Ave, Gulfport, MS 39501-2404 | 2019-04-18 |
| 1891289955 | Brittany L Stewart | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2018-06-21 |
| 1023469244 | Michelle Wright Taylor | Nurse Practitioner | 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 | 2016-06-29 |
| 1295107357 | Tammy Vincent | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2015-10-28 |
| 1023417938 | Carla Ann Rushing | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2014-08-15 |
| 1972910230 | Elizabeth Drummond | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2014-07-18 |
| 1932527264 | Brandi Saksa | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2014-04-03 |
| 1346684925 | Darlene Ann Petersen | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2013-04-25 |
| Find all providers in GULFPORT | ||||
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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.