DEANNA L. MASSIE (NPI# 1205117454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205117454 |
| Entity Type | Individual |
| Full Name | DEANNA L. MASSIE |
| Other Name | DEANNA L. BILKA |
| Credential | CNS |
| Practice Address |
7910 W Jefferson Blvd Ste 112 Fort Wayne IN 46804-4159 |
| Mailing Address |
6920 Pointe Inverness Way Ste 200 Fort Wayne IN 46804-7934 |
| Practice Telephone | 2609697121 |
| Practice Fax Number | 2604074330 |
| Mailing Telephone | 2604793514 |
| Mailing Fax Number | 2604793520 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 71003492A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RAILROAD MEDICARE | P01102663 | 01 |
| OH | 0070146 | 05 | |
| IN | 201031980 | 05 |
| Street Address |
7910 W JEFFERSON BLVD STE 112 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932673167 | Rebecca Ruth Krull Brown | Nurse Practitioner | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2019-01-22 |
| 1164813481 | Tara Sipe | Nurse Practitioner | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2015-02-09 |
| 1295005395 | Neal Agee | Surgery | 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444984 | Catherine A Duchovic | Clinical Nurse Specialist | 909 E State Blvd, Fort Wayne, IN 46805-3404 | 2006-10-21 |
| 1790893147 | Erin Eileen Rivera | Clinical Nurse Specialist | 415 E Cook Rd, Suite 100, Fort Wayne, IN 46825-3636 | 2006-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235653908 | Amanda J Blanton | Clinical Nurse Specialist | 350 W Columbia St Ste 350, Evansville, IN 47710-5610 | 2017-08-03 |
| 1144657123 | Tanya May Clary | Clinical Nurse Specialist | 11725 N. Illinois St, Suite 350, Carmel, IN 46032-3009 | 2013-10-04 |
| 1851471221 | Margaret Rose Payne | Clinical Nurse Specialist | 850 N Meridian St, 2nd Floor, Indianapolis, IN 46204-1098 | 2006-10-17 |
| 1720090947 | Kimberly Mellencamp Freeman | Clinical Nurse Specialist | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2006-08-13 |
| 1710944863 | Penni Lorraine Cremer | Clinical Nurse Specialist | 1424 E 91st St, Indianapolis, IN 46240-1902 | 2006-05-01 |
| 1902864036 | Karen E. Hughes | Clinical Nurse Specialist | 1345 Unity Pl Ste 135, Lafayette, IN 47905 | 2006-05-01 |
| 1558978353 | Ann Allison | Clinical Nurse Specialist | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 2020-09-25 |
| 1518592278 | Ivy Rynearson | Clinical Nurse Specialist | 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 | 2020-03-03 |
| 1568019354 | Deaconess Hospital, Inc | Clinical Nurse Specialist | 4111 Gateway Blvd, Newburgh, IN 47630-8954 | 2019-08-26 |
| 1942761218 | Brittany Sue Waggoner | Clinical Nurse Specialist | 1000 E Main St, Danville, IN 46122-1948 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DEANNA L. MASSIE.
| 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.