MRS. DIANA MOREE BURDICK (NPI# 1558480640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558480640 |
| Entity Type | Individual |
| Full Name | MRS. DIANA MOREE BURDICK |
| Other Name | MRS. DIANA MOREE STOUT |
| Credential | FNP |
| Practice Address |
102 North Fisher Versailles MO 65084 |
| Practice Telephone | 5733782349 |
| Practice Fax Number | 5733762350 |
| Mailing Telephone | 5733782349 |
| Mailing Fax Number | 5733762350 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
056572 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 423630409 | 05 |
| Street Address |
102 NORTH FISHER |
| City | VERSAILLES |
| State | MO |
| Zip Code | 65084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1053694422 | Regional Health Care Clinic, Inc | Clinic/Center | 1109 Clay Rd., Versailles, MO 65084 | 2011-09-22 |
| 1912133323 | Ida Mae Suttmoller | Counselor | 108 West Jasper, Versailles, MO 65084 | 2009-06-01 |
| 1649453408 | Kidwell Home | Assisted Living Facility | 1000 Kidwell Drive, Versailles, MO 65084 | 2007-12-14 |
| 1245370923 | Integrity Lifeskills LLC | Psychologist | Bremond St 506, Versailles, MO 65084 | 2007-02-08 |
| 1831250497 | Paul Howard | Family Medicine | 901 Kidwell Drive, Versailles, MO 65084 | 2006-12-13 |
| 1275570863 | Doris Elliott | Counselor | 112 N Highway 5, Versailles, MO 65084 | 2006-06-01 |
| 1730167164 | Frederick Michael Schekorra | Family Medicine | 901 Kidwell, Capital Region Medical Clinic Versailles, Versailles, MO 65084 | 2006-01-05 |
| 1659356731 | Nora Stephan Appelbaum | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084 | 2005-12-12 |
| 1447257571 | Susan Mary Burkhart | Family Medicine | 801 Kidwell Drive, St Mary's Clinic, Versailles, MO 65084 | 2005-07-05 |
| Find all providers in zip 65084 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528578770 | Kayla Meister | Nurse Practitioner | 206 W Tyson St, Versailles, IN 47042 | 2017-10-02 |
| 1336688001 | Christine Huckabee | Nurse Practitioner | 432 Lexington Rd, Versailles, KY 40383-1626 | 2017-02-14 |
| 1033442314 | David L. Manus | Nurse Practitioner | 525 Marsailles Dr, Versailles, KY 40383-1911 | 2009-09-17 |
| 1245374404 | Christy Joy Mccoy | Nurse Practitioner | 216 Locust Grove Way, Versailles, KY 40383-8806 | 2007-02-19 |
| 1831662337 | Seanna Paige Stevenson | Nurse Practitioner | 1109 W Clay Rd, Versailles, MO 65084-1177 | 2019-01-07 |
| 1295251304 | Patricia Lynn Routt | Nurse Practitioner | 432 Lexington Rd, Versailles, KY 40383-1626 | 2017-08-21 |
| 1326560236 | Janelle Nicole Brunswick | Nurse Practitioner | 471 Marker Rd, Versailles, OH 45380-9324 | 2017-07-12 |
| 1093235111 | Erin L Mckibben | Nurse Practitioner | 471 Marker Rd, Versailles, OH 45380-9324 | 2017-06-20 |
| 1396297495 | Samantha E Nichols | Nurse Practitioner | 460 Wilson Ave, Versailles, KY 40383-1947 | 2016-10-25 |
| 1497157473 | Janet Patterson | Nurse Practitioner | 360 Amsden Ave, Versailles, KY 40383-1851 | 2014-09-22 |
| Find all providers in VERSAILLES | ||||
| City | VERSAILLES |
| Zip Code | 65084 |
Please comment or provide details below to improve the information on MRS. DIANA MOREE BURDICK.
| 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.