DIANA J FUSSELMAN (NPI# 1861587636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861587636 |
| Entity Type | Individual |
| Full Name | DIANA J FUSSELMAN |
| Credential | ARNP |
| Practice Address |
550 N Hillside Wichita KS 67214 |
| Mailing Address |
Po Box 47530 Wichita KS 67201 |
| Practice Telephone | 3169628580 |
| Practice Fax Number | 3169628581 |
| Mailing Telephone | 3169623150 |
| Mailing Fax Number | 3169627334 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
45463 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS OF KANSAS | 161301 | 01 |
| KS | 200260620A | 05 | |
| KS | FIRSTGUARD | 631421 | 01 |
| Street Address |
550 N HILLSIDE |
| City | WICHITA |
| State | KS |
| Zip Code | 67214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427040617 | Andrea L Davis | Anesthesiology | 550 N Hillside, Wichita, KS 67214 | 2005-08-16 |
| 1336533587 | Paul Rafael Teran | Pediatrics | 550 N Hillside, Wichita, KS 67214 | 2015-03-26 |
| 1588070130 | Nisha Agasthya | Pediatrics | 550 N Hillside, Wesley Medical Center/picu, Wichita, KS 67214 | 2014-07-03 |
| 1023395571 | Lynna Toy | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214-4910 | 2011-11-11 |
| 1003902826 | Kathryn M Filby | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-05 |
| 1063508778 | Keri B Flowers | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-04 |
| 1295833275 | Wesley Medical Center LLC | Internal Medicine | 550 N Hillside, Wichita, KS 67214 | 2006-09-21 |
| 1679594907 | Jeanne L Wescoat | Nurse Anesthetist, Certified Registered | 550 N Hillside, Wichita, KS 67214 | 2006-07-21 |
| 1720007404 | Timothy M Gronlie | Radiology | 550 N Hillside, Wichita, KS 67214-4910 | 2006-07-19 |
| 1245202332 | Andrea L Strecker | Nurse Anesthetist, Certified Registered | 550 N Hillside, Wichita, KS 67214 | 2006-02-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366926024 | Daninaca Cassie Bawl | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2018-09-19 |
| 1922510452 | Erin Leslie Claphan | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2017-10-24 |
| 1730699844 | Anna Marie Sewell | Nurse Practitioner | 3600 E Harry St, Wichita, KS 67218-3713 | 2017-10-03 |
| 1689122798 | Erin Groves | Nurse Practitioner | 550 N Hillside St, Neonatology, Wichita, KS 67214-4910 | 2016-09-17 |
| 1134508088 | Victoria Capps | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2015-05-26 |
| 1124384995 | Dietra A Leastman | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2012-04-06 |
| 1821387077 | Elizabeth A Green | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2011-03-28 |
| 1306145008 | Amber C Gumm | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2011-03-21 |
| 1164668810 | Christopher S. Huxman | Nurse Practitioner | 550 N Hillside St, Wichita, KS 67214-4910 | 2008-12-31 |
| 1003902826 | Kathryn M Filby | Nurse Practitioner | 550 N Hillside, Wichita, KS 67214 | 2006-10-05 |
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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.