DIANA M OLSEN (NPI# 1952897001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952897001 |
| Entity Type | Individual |
| Full Name | DIANA M OLSEN |
| Other Name | DIANA M CLARK |
| Credential | APN |
| Practice Address |
1405 E 12th St Mendota IL 61342-9010 |
| Practice Telephone | 8155387200 |
| Practice Fax Number | 8155391765 |
| Mailing Telephone | 8155387200 |
| Mailing Fax Number | 8155391765 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 209017817 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285119396 | Diana M. Olsen | Behavioral Analyst | 1048 Shadow Pool Ct, Las Vegas, NV 89123-5900 | 2018-09-25 |
| 1972788719 | Diana L Olsen | Veterinarian | 1093 Sandy Plains Rd, Marietta, GA 30066-6537 | 2007-12-28 |
| Street Address |
1405 E 12TH ST |
| City | MENDOTA |
| State | IL |
| Zip Code | 61342-9010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257316 | Eric A Kivisto | Surgery | 1405 E 12th St, Suite 500, Mendota, IL 61342-9010 | 2005-07-06 |
| 1508319914 | Stacy A Piller | Registered Nurse | 1405 E 12th St, Ste 600, Mendota, IL 61342-9010 | 2016-08-02 |
| 1790140580 | Caitlin J Engels-arteaga | Physician Assistant | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2015-12-21 |
| 1306216098 | Joy Preciado | Nurse Practitioner | 1405 E 12th St, Ste 300, Mendota, IL 61342-9010 | 2015-10-07 |
| 1316320849 | Mendota Community Hospital | Clinic/Center | 1405 E 12th St, Mendota, IL 61342-9010 | 2015-07-01 |
| 1164820312 | Jonathan Edwards | Nurse Practitioner | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2014-12-19 |
| 1265562151 | Associated Physicians, Sc | Family Medicine | 1405 E 12th St, Suite 300, Mendota, IL 61342-9011 | 2007-03-07 |
| 1366500852 | Michael P Vercimak | Surgery | 1405 E 12th St, Suite 200, Mendota, IL 61342-1495 | 2006-12-05 |
| 1801982327 | Rebecca C Salvani | Obstetrics & Gynecology | 1405 E 12th St, Suite 200, Mendota, IL 61342-9010 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568536845 | Keri Sundberg | Dentist | 709 Plaza Drive, Mendota, IL 61342 | 2006-11-20 |
| 1114022589 | Goslin Drug Store Inc | Pharmacy | 1212 13th Ave, Mendota, IL 61342 | 2006-09-13 |
| 1467402412 | Neungja Chung | Acupuncturist | Mendota Community Hospital, 1315 Memorial Drive, Mendota, IL 61342 | 2006-05-11 |
| 1487622205 | Kelly R. Minihane | Physician Assistant | 1404 Washington Street, Mendota, IL 61342 | 2006-03-08 |
| 1134193022 | Donald Wilbert Piller | Chiropractor | 1312 Lakewood Dr, Mendota, IL 61342 | 2006-02-15 |
| 1770975377 | National Pain Clinic, LLC | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2015-02-19 |
| 1073869475 | Katherine Rose Riva-foster | Anesthesiology | 1401 E 12th St, Mendota, IL 61342 | 2012-08-03 |
| 1386789220 | Juli Renee Barrett Leifheit | Chiropractor | 901 Main St, Ste A, Mendota, IL 61342 | 2007-02-20 |
| 1205383197 | Mendota Community Hospital | Clinic/Center | 1401 Washington Street, Mendota, IL 61342-0001 | 2016-09-08 |
| 1780699447 | Linnea L Person | Chiropractor | 1301 14th Ave, Mendota, IL 61342-1001 | 2006-07-30 |
| Find all providers in zip 61342 | ||||
| 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 |
|---|---|---|---|---|
| 1922288208 | Judith A. Mcconville | Nurse Practitioner | 1201 Meriden St, Mendota, IL 61342-2501 | 2007-11-05 |
| 1275598849 | Sue A Cressel | Nurse Practitioner | 2534 Mendota Rd, Mendota, VA 24270-2018 | 2006-04-18 |
| 1043862964 | Stephanie Yolanda Amor-arteaga | Nurse Practitioner | 1404 Washington St, Mendota, IL 61342-1471 | 2019-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578523 | Kaitlin Lawson Kalnitz | Nurse Practitioner | 745 Mcclintock Dr Ste 360, Burr Ridge, IL 60527-0875 | 2020-11-06 |
| 1841890290 | Maria Malanych | Nurse Practitioner | 5731 Rosinweed Ln, Naperville, IL 60564-1635 | 2020-10-27 |
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1295334811 | Mary Farley | Nurse Practitioner | 7308 Northwood Dr, Wonder Lake, IL 60097-8606 | 2020-10-24 |
| 1164021168 | Stephanie Schuster | Nurse Practitioner | 2665 Prairieview Ln N, Aurora, IL 60502-6343 | 2020-10-21 |
| 1316546641 | Vanessa K Bajaj | Nurse Practitioner | 1123 N Claremont Dr, Palatine, IL 60074-4002 | 2020-10-19 |
| 1003414442 | Gachugu Medical Clinic | Nurse Practitioner | 1 E Ferguson Ave, Wood River, IL 62095-1903 | 2020-10-16 |
| 1477151272 | Yolanda K Bradford | Nurse Practitioner | 2700 S California Ave, Chicago, IL 60608-5108 | 2020-10-14 |
| 1265030019 | Andrea Mclean | Nurse Practitioner | 2500 W Reynolds St # 205, Pontiac, IL 61764-9774 | 2020-10-14 |
| 1558968628 | Timothy Nenoff | Nurse Practitioner | 24722 Lincolnway St, Plainfield, IL 60544-2412 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.