DIANE W HOLZUM (NPI# 1831217496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831217496 |
| Entity Type | Individual |
| Full Name | DIANE W HOLZUM |
| Credential | APRN, MSN, CNS |
| Practice Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Mailing Address |
503 Mansfield Pl Jackson MO 63755-2318 |
| Practice Telephone | 5733344822 |
| Practice Fax Number | 5739865984 |
| Mailing Telephone | 5732437029 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 065929 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1701 LACEY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1154940344 | Jacob Scott Wren | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-04-08 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083127344 | Mary Kristin Seymour | Clinical Nurse Specialist | 8515 Delmar Blvd Ste 230, Saint Louis, MO 63124-2168 | 2017-11-08 |
| 1578543542 | Ann Marie Homburger | Clinical Nurse Specialist | 4400 Wornall Rd, Kansas City, MO 64111-3238 | 2006-01-18 |
| 1932742822 | Lakeisha Perry | Clinical Nurse Specialist | 1851 Arrowpoint Dr, Saint Louis, MO 63138-1515 | 2019-10-23 |
| 1316502602 | Stephanie Ward | Clinical Nurse Specialist | 2750 Clay Edwards Dr Ste 410, North Kansas City, MO 64116-3258 | 2019-05-02 |
| 1740722404 | Sara Landreth | Clinical Nurse Specialist | 1 Hospital Dr, Columbia, MO 65212-0001 | 2016-11-12 |
| 1043766181 | Glenda Miller | Clinical Nurse Specialist | 3801 S National Ave, Springfield, MO 65807-5210 | 2016-08-29 |
| 1558727750 | Kristin Starr | Clinical Nurse Specialist | 4321 Washington Street, Suite 1400, Kansas City, MO 64111 | 2016-01-05 |
| 1245632819 | Dyann Helming | Clinical Nurse Specialist | One Hospital Drive, Columbia, MO 65212-0001 | 2014-09-25 |
| 1104225846 | Tiffany Suzette Meller | Clinical Nurse Specialist | One Hospital Dr, Columbia, MO 65212-0001 | 2014-08-19 |
| 1992135800 | Robert Thompson | Clinical Nurse Specialist | 4320 Wornall Rd, Suite 240, Kansas City, MO 64111-5941 | 2013-11-14 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.