MRS. DIANNA MARIE PROKUPEK (NPI# 1194797449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194797449 |
| Entity Type | Individual |
| Full Name | MRS. DIANNA MARIE PROKUPEK |
| Credential | ARNP |
| Practice Address |
1408 East 10th St Atlantic IA 50022 |
| Practice Telephone | 7122432606 |
| Practice Fax Number | 7122432688 |
| Mailing Telephone | 7122432606 |
| Mailing Fax Number | 7122432688 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G087587 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0464800 | 05 |
| Street Address |
1408 EAST 10TH ST |
| City | ATLANTIC |
| State | IA |
| Zip Code | 50022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807872 | Rebecca R Sponsler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1952679300 | Billie Jo Butler | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2011-12-13 |
| 1801164579 | Tausha Nicole Coffman | Counselor | 1408 East 10th St, Atlantic, IA 50022 | 2011-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699227454 | Anna Johnson | Physical Therapy Assistant | 1510 E. 10th St, Atlantic, IA 50022 | 2016-10-27 |
| 1811367535 | Swfac Plc | Podiatrist | 1101 East 7th Street, Atlantic, IA 50022 | 2015-10-07 |
| 1730470212 | Jane Marie Turner | Registered Nurse | 1408 East 10th Street, Atlantic, IA 50022 | 2011-05-02 |
| 1215124532 | Assisted Living Concepts Inc | Assisted Living Facility | 1406 East 19th, Atlantic, IA 50022 | 2007-10-01 |
| 1558429134 | Roland J Flory | Podiatrist | 808 E 7th, Atlantic, IA 50022 | 2006-12-05 |
| 1073680344 | Douglas John Spicer | Dentist | 411 Poplar Street, Atlantic, IA 50022 | 2006-11-29 |
| 1235224536 | Atlantic Community School District | Local Education Agency (LEA) | 1100 Linn Street, Atlantic, IA 50022 | 2006-10-03 |
| 1518976653 | Center for The Advancement of Self Sufficiency Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1406 Sw 7th St, Atlantic, IA 50022 | 2006-08-07 |
| 1124099791 | Emerson Allen Link | Psychologist | 1408 E 10th St, Atlantic, IA 50022 | 2006-01-31 |
| 1720530256 | Elisha Hardy | Nurse Practitioner | 1501 E 10th St Ste 100, Atlantic, IA 50022 | 2016-11-01 |
| Find all providers in zip 50022 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463292 | Sarah Evie Schuller | Nurse Practitioner | 215 Nw 18th St Ste 102, Ankeny, IA 50023-4282 | 2020-09-26 |
| 1174139950 | Heartland Healthcare Psychiatry, LLC | Nurse Practitioner | 455 N Orthmckenzie Lane, North Liberty, IA 52317-8901 | 2020-09-17 |
| 1356956916 | Jennifer Cherop Cheruiyot | Nurse Practitioner | 215 Nw 18th St, Ankeny Ia 50023, Ankeny, IA 50023 | 2020-09-10 |
| 1083224844 | Amy Leclere | Nurse Practitioner | 404 Stonehaven Ln Ne, Cedar Rapids, IA 52402-1451 | 2020-08-06 |
| 1154940971 | Raven N Niles | Nurse Practitioner | 732 13th Ave, Coralville, IA 52241-1737 | 2020-04-12 |
| 1104459254 | Jered Flinkman | Nurse Practitioner | 420 Mill St Sw, Mitchellville, IA 50169-7702 | 2020-02-18 |
| 1508401571 | Someplace Psychiatric Services, Plc | Nurse Practitioner | 3909 Briarwood Dr, Cedar Falls, IA 50613-7508 | 2019-11-13 |
| 1053963900 | Nicole Dora Mcclavy | Nurse Practitioner | 610 10th St, Perry, Ia 50220, Perry, IA 50220 | 2019-07-11 |
| 1740841188 | Evizzit of Iowa Psychiatry PC | Nurse Practitioner | 1501 42nd St Ste 120, West Des Moines, IA 50266-1005 | 2019-06-26 |
| 1548736085 | Ncc Psychiatric Services Pllc | Nurse Practitioner | 50 Central Ave Se Ste 102, Le Mars, IA 51031-3562 | 2018-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DIANNA MARIE PROKUPEK.
| 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.