LEELAN DIANE BANTA (NPI# 1548541535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548541535 |
| Entity Type | Individual |
| Full Name | LEELAN DIANE BANTA |
| Credential | RN |
| Practice Address |
510 29 1/2 Rd Grand Junction CO 81504-5383 |
| Practice Telephone | 9702486924 |
| Mailing Telephone | 9702486924 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
45560 | CO | Nursing Service Providers |
| Street Address |
510 29 1/2 RD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81504-5383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831201359 | Anita I Sheetz | Midwife | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2006-08-31 |
| 1689286239 | Amanda Jensen | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2020-08-17 |
| 1902380975 | Holly Nisley | Social Worker | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2018-09-17 |
| 1932695715 | Danielle Garcia | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2018-07-05 |
| 1215423074 | Keli Campbell | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2018-07-05 |
| 1265921571 | Danyelle Larson | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2018-05-02 |
| 1437648748 | Rebecca Ferguson | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2018-05-02 |
| 1285169334 | Melanie A Duyvejonck | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2017-04-26 |
| 1104275882 | Marillac Clinic, Inc | Clinic/Center | 510 29 1/2 Rd, Grand Junction, CO 81504 | 2016-06-03 |
| 1598128605 | Erin Andrews | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2016-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699226936 | Ariel Kristine Rendt Padron | Counselor | 639 Long Peak Ct, Grand Junction, CO 81504 | 2016-10-21 |
| 1902197460 | Bereket Yebiyo | Pharmacist | 2992 F Rd., Grand Junction, CO 81504 | 2011-05-02 |
| 1467636787 | Renae Tabin | Physician Assistant | 569 32 Rd Ste 12, Grand Junction, CO 81504 | 2007-12-21 |
| 1689892069 | Mark Newhouse | Physical Therapist | 2777 Crossroads Blvd, Grand Junction, CO 81504 | 2007-04-23 |
| 1841414570 | Deborah Ann Didonato | Registered Nurse | 510 29 .5 Rd, Grand Junction, CO 81504 | 2007-04-12 |
| 1073634952 | Darilynn Sue Maddux | Technician | 510 29.5, Grand Junction, CO 81504 | 2007-04-02 |
| 1538289749 | Shirley Callaway | Registered Nurse | 510 29. 5 Road, Grand Junction, CO 81504 | 2007-03-30 |
| 1407891328 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 569 32 Rd, Grand Junction, CO 81504 | 2006-06-17 |
| 1275536146 | Mesa County Health Department | Registered Nurse | 510 29 1/2 Road, Grand Junction, CO 81504 | 2005-05-24 |
| 1255722054 | Margaret Lorraine Lehr | Nurse Practitioner | 3096 I-70 Business Loop, Suite D, Grand Junction, CO 81504 | 2015-02-16 |
| Find all providers in zip 81504 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720362692 | Valerie Dianne Pulsipher | Registered Nurse | 2847 Kelso Mesa Dr, Grand Junction, CO 81503-4213 | 2011-10-10 |
| 1457485674 | Diane Elizabeth Balster | Registered Nurse | 510 29 12 Road, Grand Junction, CO 81502-5033 | 2007-03-16 |
| 1275536146 | Mesa County Health Department | Registered Nurse | 510 29 1/2 Road, Grand Junction, CO 81504 | 2005-05-24 |
| 1811258080 | Mary Elizabeth Militello | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2012-06-05 |
| 1053678953 | Jana K Simpson | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2012-04-16 |
| 1689969511 | Virginia Simonetti | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2011-06-20 |
| 1023303005 | Margaret Louise Chandler | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2011-06-17 |
| 1144548074 | Shannon Hassan | Registered Nurse | 510 29 1/2 Rd, Grand Junction, CO 81504-5383 | 2010-05-17 |
| 1710196076 | Mesa County Health Department | Registered Nurse | 510 29.5 Road, Grand Junction, CO 81504 | 2007-05-22 |
| 1538375209 | Danielle Dawn Squires | Registered Nurse | 510 29 Rd, Grand Junction, CO 81504-5002 | 2007-05-16 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81504 |
Please comment or provide details below to improve the information on LEELAN DIANE BANTA.
| 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.