DIANE TREMAIN (NPI# 1528333127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528333127 |
Entity Type | Individual |
Full Name | DIANE TREMAIN |
Credential | NP-C |
Practice Address |
3315 S Campbell Ave Springfield MO 65807-4914 |
Mailing Address |
Po Box 4046 Springfield MO 65808-4046 |
Practice Telephone | 4178862219 |
Practice Fax Number | 4178862293 |
Mailing Telephone | 4172695712 |
Mailing Fax Number | 4172697567 |
Enumeration Date | 2012-03-14 |
Last Update Date | 2020-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03676 | AR | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2012004441 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | LICENSE | 2012004441 | 01 |
AR | LICENSE | ATP000452 | 01 |
Street Address |
3315 S CAMPBELL AVE |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-4914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891789780 | Michael E Turner | Optometrist | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2005-09-07 |
1235730011 | Jeffrey Carl Friedman | Pharmacy | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2020-11-06 |
1770183691 | Robert Perry Biache | Pharmacist | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2020-10-29 |
1558961946 | Stepanie Ann Paddock | Pharmacist | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2020-10-27 |
1659806578 | Emily Akridge | Nurse Practitioner | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2017-04-28 |
1558612358 | Kimberly Sue Reed | Nurse Practitioner | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2012-09-20 |
1417205287 | Jamie L. Schatz | Nurse Practitioner | 3315 S Campbell Ave, Springfield, MO 65807 | 2012-08-27 |
1932337219 | Teresa C Casey | Registered Nurse | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2009-06-25 |
1174767651 | Lester E Cox Medical Centers | Nurse Practitioner | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2009-04-28 |
1497993836 | Regional Services | Nurse Practitioner | 3315 S Campbell Ave, Springfield, MO 65807-4914 | 2009-01-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
1134735343 | Michael Fitz | Nurse Practitioner | 6205 Westminster Ct, Springfield, IL 62711-6728 | 2020-09-22 |
1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
1548812506 | Sasha Lee Ramos | Nurse Practitioner | 125 Liberty St Ste 403, Springfield, MA 01103-1109 | 2019-07-10 |
1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
1083167100 | Talona Sue Carpenter-schultz | Nurse Practitioner | 322 Mcintyre Ln, Springfield, MI 49037-7685 | 2016-07-25 |
1649632068 | Lori Brooks | Nurse Practitioner | 1307 E Monroe St, Springfield, IL 62703-1224 | 2016-03-24 |
1740613744 | Sanyu Haffusa Walker | Nurse Practitioner | 3550 Main St. Commonwealth Community Care, Suite 101, Springfield, MA 01107-1078 | 2013-08-13 |
1023030145 | Bernice A Ezell | Nurse Practitioner | 380 Plainfeild St, Springfield, MA 01199-0001 | 2006-07-25 |
1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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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.