MRS. DIANE M ANDERSON (NPI# 1801875364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801875364 |
| Entity Type | Individual |
| Full Name | MRS. DIANE M ANDERSON |
| Credential | FNPC |
| Practice Address |
143 South Gibson Street Medford WI 54451-1622 |
| Practice Telephone | 7157482121 |
| Practice Fax Number | 7157487590 |
| Mailing Telephone | 7157482121 |
| Mailing Fax Number | 7158472465 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2012-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 1505-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43896800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689443 | Diane J Anderson | Registered Nurse | 604 Woodhaven Ct, Cambridge, WI 53523-8604 | 2018-11-28 |
| 1255665311 | Diane K. Anderson | Registered Nurse | 2918 Oates Dr, Dallas, TX 75228-3914 | 2009-09-22 |
| 1114103827 | Diane Leigh Anderson | Community Health Worker | 161 Strawbridge Ave, Sharon, PA 16146-3235 | 2008-01-11 |
| 1093915472 | Diane Elizabeth Anderson | Physical Therapy Assistant | 316 N Milwaukee St Ste 208, Milwaukee, WI 53202-5803 | 2007-07-23 |
| 1003022534 | Diane Hutt Anderson | Social Worker | 2605 E. Foothill Boulevard, #109, Glendora, CA 91740 | 2007-05-14 |
| 1083745400 | Diane Lyn Anderson | Counselor | 3500 First Street South, Lamar, CO 81052 | 2007-03-08 |
| 1548391238 | Diane Anderson | Registered Nurse | 1300 S Greenbay Rd Ste 303, Racine, WI 53406-4469 | 2007-03-07 |
| 1922183458 | Diane Marie Anderson | Registered Nurse | 2591 Fulton Square Ln Apt 82, Sacramento, CA 95821-2384 | 2006-10-25 |
| 1578581161 | Diane Linda Anderson | Dentist | 27403 Ynez Rd Ste 104, Temecula, CA 92591-4614 | 2006-07-18 |
| 1992749162 | Diane Anderson | Occupational Therapist | 200 Oak Street S.e. Mcnamara Alumni Center, Suite 160 University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-06-16 |
| Street Address |
143 SOUTH GIBSON STREET |
| City | MEDFORD |
| State | WI |
| Zip Code | 54451-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154302768 | Margaret Susan Young | Obstetrics & Gynecology | 143 South Gibson Street, Medford, WI 54451-1622 | 2005-11-10 |
| 1912180555 | Rachel Dixon | Physician Assistant | 143 South Gibson Street, Medford, WI 54451-1622 | 2007-12-05 |
| 1699899468 | Sujatha Roberts | Obstetrics & Gynecology | 143 South Gibson Street, Medford, WI 54451 | 2007-03-19 |
| 1598777518 | Sandra K Hoogland | Physician Assistant | 143 South Gibson Street, Medford, WI 54451-1622 | 2006-08-12 |
| 1245241272 | Odessa M Gallett | Dietitian, Registered | 143 South Gibson Street, Medford, WI 54451-1622 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536321 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 724 S. 8th St, Medford, WI 54451 | 2019-09-06 |
| 1215474671 | Heidi Marie Nernberger | Dental Hygienist | 124 S. Main Street, Medford, WI 54451 | 2017-01-24 |
| 1497152656 | Rachel E Nichols | Dental Hygienist | 124 South Main St, Medford, WI 54451 | 2014-12-03 |
| 1811305360 | Amanda Mosse | Social Worker | 10649 W Perkinstown Ave, Medford, WI 54451 | 2014-07-29 |
| 1891081113 | Debra Jeanne Zenner | Nurse Practitioner | 143 South Gibson St., Medford, WI 54451 | 2011-06-24 |
| 1033445036 | Greg George Schoofs II | Ophthalmology | N 4803 Wigwam Ave, Medford, WI 54451 | 2009-10-26 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1013132430 | Aspirus Medford Hospital & Clinics, Inc. | Pharmacy | 139 S Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1356566707 | Peter G Kiefer | Pharmacist | 139 South Gibson St, Medford, WI 54451 | 2007-04-13 |
| 1851426753 | Steven Todd Dietzman | Specialist/Technologist | 103 South Gibson Street, Medford, WI 54451 | 2007-02-22 |
| Find all providers in zip 54451 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280620 | Danna Rae Morgan | Nurse Practitioner | 539 N Barneburg Rd, Medford, OR 97504-6678 | 2020-09-16 |
| 1609406164 | Andey Amata-kynvi | Nurse Practitioner | 99 Jerome St, Medford, MA 02155-6736 | 2020-01-23 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922542489 | Genevieve Lumsden | Nurse Practitioner | 30 Auburn St, Medford, MA 02155-3623 | 2016-12-16 |
| 1821456708 | Sonia Nerteley Nettey | Nurse Practitioner | 86 Otis St Unit 2, Medford, MA 02155-4031 | 2016-02-05 |
| 1740532480 | Shannon Henderson | Nurse Practitioner | 520 Medical Center Dr Ste 201, Medford, OR 97504-4334 | 2012-10-04 |
| 1548577307 | Elaina S Jensen | Nurse Practitioner | 2385 Table Rock Rd # 103, Medford, OR 97501-1510 | 2010-08-31 |
| 1891928495 | Roberta Marie Bell | Nurse Practitioner | 617 Palm St, Medford, OR 97501 | 2009-08-29 |
| 1750567129 | Robert Anthony Kiesecker Jr. | Nurse Practitioner | 781 Black Oak Dr Ste 102, Medford, OR 97504-9501 | 2008-01-16 |
| Find all providers in MEDFORD | ||||
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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.