MRS. DIANA J STIDHAM (NPI# 1104894971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104894971 |
| Entity Type | Individual |
| Full Name | MRS. DIANA J STIDHAM |
| Credential | CPNP |
| Practice Address |
400 E Martin Luther King Blvd Cincinnati OH 45229 |
| Mailing Address |
5873 Sigmon Way Fairfield OH 45014-4847 |
| Practice Telephone | 5138617313 |
| Mailing Telephone | 5138290692 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN-197978 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2357051 | 05 |
| Street Address |
400 E MARTIN LUTHER KING BLVD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
| 1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
| 1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
| 1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
| 1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
| 1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
| Find all providers in zip 45229 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295012912 | Emily J. Mckenna | Nurse Practitioner | 3333 Burnet Ave. Ml 2023, Cincinnati, OH 45229-3039 | 2011-11-09 |
| 1013159474 | Naomi Van Horn | Nurse Practitioner | 3333 Burnet Ave. Ml 2015, Cincinnati, OH 45229 | 2009-04-01 |
| 1114173531 | Janice Stehlin Macbrair | Nurse Practitioner | 3333 Burnet Ave Ml11024, Cincinnati, OH 45229-3039 | 2008-08-18 |
| 1871645994 | Julie Elizabeth Dversdall | Nurse Practitioner | 2515 Clifton Ave, Cincinnati, OH 45219-1003 | 2007-01-17 |
| 1619075983 | Margaret L Hallman | Nurse Practitioner | 8250 Winton Rd, Suite #103, Cincinnati, OH 45231-5916 | 2006-09-20 |
| 1649375981 | Jennifer Russell | Nurse Practitioner | 400 Martin Luther King Dr E, Cincinnati, OH 45229-3367 | 2006-09-13 |
| 1821051558 | Barbara Klug Giambra | Nurse Practitioner | 3333 Burnet Ave # Mlc4000, Cincinnati, OH 45229-3026 | 2006-04-12 |
| 1285621953 | Norah Helen Bertschy | Nurse Practitioner | 3101 Burnet Ave, Cincinnati, OH 45229-3014 | 2005-09-28 |
| 1063411486 | Julia Levine | Nurse Practitioner | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2005-07-18 |
| 1174061782 | Natalie Marie Givens | Nurse Practitioner | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2017-02-02 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45229 |
Please comment or provide details below to improve the information on MRS. DIANA J STIDHAM.
| 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.