DIANE TREMAIN


Address: 3315 S Campbell Ave, Springfield, MO 65807-4914
Phone: 4178862219

DIANE TREMAIN (NPI# 1528333127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO LICENSE 2012004441 01
AR LICENSE ATP000452 01

Office Location

Street Address 3315 S CAMPBELL AVE
City SPRINGFIELD
State MO
Zip Code 65807-4914

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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