DIANNA GRUESER (NPI# 1356843510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356843510 |
| Entity Type | Individual |
| Full Name | DIANNA GRUESER |
| Credential | MASTER OF EDUCATION |
| Practice Address |
1451 Diederich Blvd Russell KY 41169-1718 |
| Practice Telephone | 6063884511 |
| Practice Fax Number | 6063884512 |
| Mailing Telephone | 6063884511 |
| Mailing Fax Number | 6063884512 |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2018-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
1111 | WV | Allopathic & Osteopathic Physicians |
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1451 DIEDERICH BLVD |
| City | RUSSELL |
| State | KY |
| Zip Code | 41169-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037337 | Lana J Davenport Md Plc | Psychiatry & Neurology | 1451 Diederich Blvd, Russell, KY 41169-1718 | 2010-02-10 |
| 1568952455 | Elizabeth Nicole Powell | Assistant Behavior Analyst | 1451 Diederich Blvd, Russell, KY 41169-1718 | 2018-05-16 |
| 1457854952 | Melissa Gayle King | Speech-Language Pathologist | 1451 Diederich Blvd, Russell, KY 41169-1718 | 2018-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346552999 | Joseph Ray Bowling | Optometrist | 112 S Vinson Blvd, Louisa, KY 41169 | 2010-07-12 |
| 1508031980 | Alissa R Parker | Nurse Practitioner | 105 Thompson Road, Russell, KY 41169 | 2008-04-25 |
| 1770703829 | Elmer H Mullins Jr. | Dentist | 1452 Diederich Blvd, Russell, KY 41169 | 2007-04-30 |
| 1790862233 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 1490 Diederich Blvd, Russell, KY 41169 | 2006-11-01 |
| 1710073580 | Angela Dawn Lewis | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169 | 2006-10-05 |
| 1972600609 | Tiffany Blanton | Counselor | 1448 Diederich Boulveard, Russell, KY 41169 | 2006-09-17 |
| 1821008335 | Lena A Harmon | Psychologist | 1448 Diederich Blvd, Russell, KY 41169 | 2006-08-08 |
| 1831645779 | Courtney Joyce | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2016-08-31 |
| 1245436757 | Debora K Reeves | Counselor | 1448 Diederich Blvd, Russell, KY 41169 | 2007-06-22 |
| 1164044533 | Melissa Westfall | Registered Nurse | 440 Greenup Rd, Russell, KY 41169-1087 | 2020-05-08 |
| Find all providers in zip 41169 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023181815 | Philip J Mattheis | Pediatrics | 10186 Timbercreek Dr, Union, KY 41091-9710 | 2006-11-17 |
| 1942205943 | Kentucky Medical Supply, Inc. | Pediatrics | 102 Castle Ridge Dr, Edmonton, KY 42129 | 2005-06-16 |
| 1215448287 | Milestones Therapy Center Inc. | Pediatrics | 903 Bellefonte Rd Ste A, Flatwoods, KY 41139-2005 | 2017-10-18 |
| 1265707384 | University of Louisville Research Foundation | Pediatrics | 571 S Floyd St, Suite 100, Louisville, KY 40202-3818 | 2012-03-22 |
| 1033373543 | Maria Romelinda Lazaro Mendoza | Pediatrics | 571 S Floyd St, Suite 130, Louisville, KY 40202-3818 | 2008-07-14 |
| 1649307224 | Monroe Medical Equipment Co LLC | Pediatrics | 801 N Main St, Tompkinsville, KY 42167-1002 | 2007-02-28 |
| 1679549935 | Quentin A Humberd | Pediatrics | 650 Joel Drive, Blanchfield Army Community Hospital, Ft Campbell, KY 42223-5349 | 2006-02-27 |
| 1992775209 | Jerry Wade White | Pediatrics | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2006-01-26 |
| 1003894908 | Patricia Gail Williams | Pediatrics | 411 E Chestnut St, Louisville, KY 40202-1713 | 2006-01-03 |
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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.