DIANE KENTON MATTERN (NPI# 1184601700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184601700 |
Entity Type | Individual |
Full Name | DIANE KENTON MATTERN |
Other Name | DIANE SENTINELLA MATTERN |
Credential | NURSE PRACTITIONER |
Practice Address |
475 South Spruce Casper Natrona County Health Department Casper WY 82601-0000 |
Mailing Address |
3243 S Poplar St Casper WY 82601-5307 |
Practice Telephone | 3072359340 |
Practice Fax Number | 3072372036 |
Mailing Telephone | 3072591388 |
Enumeration Date | 2005-12-23 |
Last Update Date | 2013-03-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
10883.122 | WY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
475 SOUTH SPRUCE CASPER NATRONA COUNTY HEALTH DEPARTMENT |
City | CASPER |
State | WY |
Zip Code | 82601-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407472715 | Kira Christine Schaab | Student in an Organized Health Care Education/Training Program | University of Wyoming Fmrp - Casper 1522 East A Street, Casper, WY 82601 | 2020-06-23 |
1386111300 | Kyle David Gordon | Pharmacist | 2625 E. 2nd St., Pharmacy, Casper, WY 82601 | 2018-10-29 |
1225534050 | Stephanie Wendling | Social Worker | 143 S Summit St., Casper, WY 82601 | 2018-04-02 |
1457877987 | Deer Creek Dentistry, PC | Dentist | 514 South Durbin Street, Casper, WY 82601 | 2017-08-16 |
1679096382 | Rachael Kristin Clark | Case Management | 2317 Absaroka Trail, Bar Nunn, WY 82601 | 2017-07-25 |
1366998692 | Trenton Vonburg | Occupational Therapy Assistant | 2744 Fairdale Ave, Casper, WY 82601 | 2016-08-28 |
1619326618 | Traci L Aguilar | Massage Therapist | 221 S. Walcott, Casper, WY 82601 | 2016-06-09 |
1801256656 | Anita Walker | Speech-Language Pathologist | 851 Werner Ct., Ste. 100, Sensational Kids, Casper, WY 82601 | 2016-03-07 |
1528444304 | Jack Miller | Pharmacist | 1262 S. Conwell Stc, Casper, WY 82601 | 2015-08-04 |
1437556453 | Kelly Jo Plessman | Nurse Practitioner | 2521 East 15th Street, Casper, WY 82601 | 2014-11-20 |
Find all providers in zip 82601 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114149655 | Deborah Ann Miller | Nurse Practitioner | 111 W 2nd St, Suite 305, Casper, WY 82601-2464 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487931416 | Stephanie Lee Dupree | Nurse Practitioner | 1204 Hilltop Dr. #107 & #108, Rock Springs, WY 82901 | 2011-11-04 |
1558373340 | J'laine Proctor | Nurse Practitioner | 1465 N 4th St, Suite #119, Laramie, WY 82072-2066 | 2006-08-12 |
1801855606 | Deborah Elizabeth Mcalpine | Nurse Practitioner | 1898 Fort Road, Sheridan, WY 82801-2718 | 2006-03-21 |
1043683691 | Patricia Mcjilton | Nurse Practitioner | 501 S Burma Ave, Gillette, WY 82716-3426 | 2015-11-04 |
1790182368 | Kelly Spychalski | Nurse Practitioner | 1025 9th St, Cody, WY 82414 | 2014-11-26 |
1215370754 | Celia Elizabeth Rife | Nurse Practitioner | 214 E 23rd St, Cheyenne, WY 82001-3748 | 2013-04-15 |
1538310925 | Ann Marie Hart, Fnp, PC | Nurse Practitioner | 255 N 30th St, Ivinson Memorial Hospital, Suite 5b Specialty Clinic, Laramie, WY 82072-5140 | 2008-10-04 |
1235282120 | Wyoming Neurology P.C. | Nurse Practitioner | 2301 House Ave, Ste 203, Cheyenne, WY 82001-3176 | 2007-01-22 |
1306880158 | Susan Colette Beckwith | Nurse Practitioner | 1898 Fort Rd, Sheridan, WY 82801-8320 | 2006-06-15 |
1730145400 | Leslie Joan Nutting | Nurse Practitioner | 2360 E Pershing Blvd, Cheyenne, WY 82001-5356 | 2006-04-21 |
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.