DEANNA L. MASSIE


Address: 7910 W Jefferson Blvd Ste 112, Fort Wayne, IN 46804-4159
Phone: 2609697121

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist 71003492A IN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN RAILROAD MEDICARE P01102663 01
OH 0070146 05
IN 201031980 05

Office Location

Street Address 7910 W JEFFERSON BLVD STE 112
City FORT WAYNE
State IN
Zip Code 46804-4159

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City FORT WAYNE
Zip Code 46804

Improve Information

Please comment or provide details below to improve the information on DEANNA L. MASSIE.

Dataset Information

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.

Trending Searches