MRS. DIANA L CHARLEBOIS (NPI# 1386160125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386160125 |
| Entity Type | Individual |
| Full Name | MRS. DIANA L CHARLEBOIS |
| Other Name | MISS DIANA L POZNANSKI |
| Credential | MSN-FNP |
| Practice Address |
2817 New Pinery Road Portage WI 53901 |
| Mailing Address |
2817 New Pinery Rd Portage WI 53901-9240 |
| Practice Telephone | (608) 745-4693 |
| Practice Fax Number | 6087456098 |
| Mailing Telephone | 6087454693 |
| Mailing Fax Number | 6087456098 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7884 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2817 NEW PINERY ROAD |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428841 | Robert Vincent Castrovinci | Ophthalmology | 2817 New Pinery Road, Portage, WI 53901-0387 | 2005-09-20 |
| 1831693100 | Divine Savior Healthcare, Inc. | Pharmacy | 2817 New Pinery Road, Portage, WI 53901 | 2018-03-21 |
| 1386154417 | Divine Savior Healthcare, Inc. | Clinic/Center | 2817 New Pinery Road, Portage, WI 53901-0387 | 2017-10-03 |
| 1851537245 | Aimee Stieve | Physical Therapist | 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 | 2009-01-06 |
| 1255508255 | Lori A Schumann | Physical Therapist | 2817 New Pinery Road, Divine Savior Healthcare, Portage, WI 53901-0387 | 2008-05-09 |
| 1467644195 | James M Swan Jr. | Nurse Practitioner | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2007-08-16 |
| 1316147408 | Divine Savior Healthcare Inc | Medicare Defined Swing Bed Unit | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2007-07-18 |
| 1538177480 | Carol Ada Pierce | Surgery | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901 | 2006-08-04 |
| 1922037175 | Daniel R Langan | Nurse Anesthetist, Certified Registered | 2817 New Pinery Road, Divine Savior Healthcare Inc, Portage, WI 53901-0387 | 2006-07-01 |
| 1962442590 | Frank L. Walter | Orthopaedic Surgery | 2817 New Pinery Road, Portage, WI 53901-0387 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063031367 | Patricia Evelyn Biel | Nurse Practitioner | 5511 Redwood Avenue, Portage, IN 46368-4302 | 2020-04-16 |
| 1366092975 | Rachel Jaynu Nimely-scott | Nurse Practitioner | 5722 Kingman Ave, Portage, IN 46368-1529 | 2019-09-16 |
| 1174082523 | Upstream Health and Wellness, LLC | Nurse Practitioner | 3200 Willowcreek Rd Ste B, Portage, IN 46368-4486 | 2019-03-15 |
| 1972087161 | Danielle R Geroski | Nurse Practitioner | 9900 Huffman Rd, Portage, OH 43451-9739 | 2018-09-24 |
| 1780927889 | Marianne Harman | Nurse Practitioner | 6652 Lakewood Ave, Chhabra Medical Corporation PC, Portage, IN 46368-2404 | 2013-03-27 |
| 1164640884 | Barbara Jane Heric | Nurse Practitioner | 6615 S Boundary Rd, Portage, IN 46368-1373 | 2007-04-20 |
| 1063562585 | Manjerngie Cecelia Ndebe | Nurse Practitioner | 451 W. Milham Ave, Portage, MI 49024 | 2007-01-10 |
| 1982204640 | Kaitlyn Renea Davidson | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-30 |
| 1467052753 | Courtney Brooke Wyant | Nurse Practitioner | 3304 Cooley Ct, Portage, MI 49024-7430 | 2020-10-27 |
| 1114551777 | Kelsey Lankford | Nurse Practitioner | 7901 Angling Rd, Portage, MI 49024-0714 | 2020-02-23 |
| Find all providers in PORTAGE | ||||
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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.