DIANE K WALKER


Address: 3144 Vanzile Road, Crandon, WI 54520-0275
Phone: 7154785180

DIANE K WALKER (NPI# 1710282678) 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) 1710282678
Entity Type Individual
Full Name DIANE K WALKER
Credential RN CDE
Practice Address 3144 Vanzile Road
Crandon
WI 54520-0275
Mailing Address 1 N Hill Road
Wausau
WI 54403
Practice Telephone 7154785180
Practice Fax Number 7154785904
Mailing Telephone 7154785180
Mailing Fax Number 7154785904
Enumeration Date 2011-01-24
Last Update Date 2011-01-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 136A00000X Dietetic Technician, Registered 90435 30 WI Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI WI LICENSE 90435 30 01

Other Providers DIANE WALKER

NPI Name Taxonomy Address Enumeration
1124647730 Diane Willette Walker Occupational Therapist 179 Baldwin Rd, Billerica, MA 01821-3013 2020-04-14
1144784844 Diane Walker Registered Nurse 520 Winspear Ave, Buffalo, NY 14215-1251 2019-01-27
1740658640 Diane Walker In Home Supportive Care 800 22nd Ave, Tuscaloosa, AL 35401-2142 2015-09-09
1427467422 Diane Walker Nurse Practitioner 2644 White Pine Dr, Henderson, NV 89074 2014-08-05
1336571769 Diane P Walker Occupational Therapist 415 S Blacks Corners Rd, Imlay City, MI 48444-9761 2013-08-08
1427198233 Diane M Walker Psychologist 6655 S Us Highway 1, Grant, FL 32949-2221 2007-02-08
1114038767 Diane Walker Optometrist 54 Hill St, Spruce Pine, NC 28777-8923 2006-08-31
1467454553 Diane Whitney Walker Nurse Practitioner 905 Cedar Creek Grade, Suite 101, Winchester, VA 22601-7100 2005-06-02
1144468315 Diane Marie Walker Dietitian, Registered 30 Locust Street, Cooley Dickinson Hospital, Northampton, MA 01060-5001 2009-01-27
1790956670 Diane Walker Nurse's Aide 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2008-03-18

Office Location

Street Address 3144 VANZILE ROAD
City CRANDON
State WI
Zip Code 54520-0275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568798163 Charles D Fox Counselor 3144 Vanzile Road, Crandon, WI 54520-8880 2009-11-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255574364 Anne Morris Warren Counselor 5409 Everybody's Rd, Crandon, WI 54520 2009-04-20
1568643922 Karen Mihalko Hearing Instrument Specialist 106 W Madison Street, Crandon, WI 54520 2007-11-14
1558379438 David R Kaufman Jr. Pharmacist 5409 Everybodys Rd, Forest County Potwatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1114935095 William R Pierre Optometrist 5409 Everbodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1285642165 Christopher P Skaggs Speech-Language Pathologist 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
1720033186 Frank Mraz Family Medicine 5409 Everybody's Road, Crandon, WI 54520 2006-05-24
1770978173 Lana Winter Counselor 3144 Vanzile Rd, Crandon, WI 54520 2015-04-02
1902221989 Anna E Lopez Massage Therapist 8201 Mish Ko Swen Drive, Crandon, WI 54520 2014-02-27
1992959654 Lisa M Miller Dietitian, Registered 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2008-11-07
1902814882 Kirk R Ritchie Dentist 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 2006-08-04
Find all providers in zip 54520

Taxonomy Information

Taxonomy Code 136A00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietetic Technician, Registered

Taxonomy Definition

A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate’s degree at a US regionally accredited college or university; a dietetic technician program approved by The American Dietetic Association, including 450 hours of supervised practice experience; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Dietetic Technician, Registered -- a food and nutrition practitioner. Chicago, IL: The American dietetic association, July 1997.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548438096 Darcie M Haupert Dietetic Technician, Registered 555 S 108th Street, West Allis, WI 53214 2008-02-19
1679045645 Renee Annette Taylor Dietetic Technician, Registered 400 N Morris St, Stoughton, WI 53589-1857 2019-01-01
1144708355 Traci Ann Taipale Dietetic Technician, Registered 611 N Saint Joseph Ave, Marshfield, WI 54449-1832 2018-07-31
1669962056 Sarah Kropidlowski Dietetic Technician, Registered 19333 W North Ave, Brookfield, WI 53045-4132 2018-05-11
1518456938 Elizabeth Charlene Morien Dietetic Technician, Registered 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 2018-05-02
1891218053 Allison Knight Dietetic Technician, Registered 615 W Moreland Blvd, Waukesha, WI 53188-2462 2017-07-19
1073648093 Sarah A Paget Dietetic Technician, Registered 130 2nd St, Neenah, WI 54956-2883 2007-02-22
1013066729 Barbara Sue Grobe Dietetic Technician, Registered 500 E Veterans St, Tomah, WI 54660-3105 2007-01-10
1962591115 Trudy Munson Dietetic Technician, Registered 9601 Townline Rd, Minocqua, WI 54548-9099 2006-10-12

Competitor

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City CRANDON
Zip Code 54520

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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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