DIANE MARIE BOCKELMAN (NPI# 1609951094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609951094 |
| Entity Type | Individual |
| Full Name | DIANE MARIE BOCKELMAN |
| Credential | NP |
| Practice Address |
6149 N Wayne Rd Westland MI 48185-7128 |
| Practice Telephone | 7347282130 |
| Practice Fax Number | 7347282626 |
| Mailing Telephone | 7347282130 |
| Mailing Fax Number | 7347282626 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704144105 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4895015 | 05 |
| Street Address |
6149 N WAYNE RD |
| City | WESTLAND |
| State | MI |
| Zip Code | 48185-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548246242 | Scott A Paxton | Family Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2005-12-15 |
| 1053926899 | Julia Mcaree | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-09-09 |
| 1700407210 | Alexandra Marie Rabban | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2020-05-06 |
| 1629699731 | Carine Rae Gustin | Physician Assistant | 6149 N Wayne Rd, Westland, MI 48185-7130 | 2020-04-29 |
| 1366815557 | Jodie Colman | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-11-10 |
| 1821477258 | Roselyne A Ogola-mwangale | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2015-05-18 |
| 1043559404 | Michigan Healthcare Professionals PC | Internal Medicine | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2013-02-05 |
| 1255676706 | Rebecca Lynne Szymaszek | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-12-10 |
| 1811257603 | Linda Minns | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-05-25 |
| 1023395993 | Rx Express Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6149 N Wayne Rd, Suite 1, Westland, MI 48185-7128 | 2011-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457821084 | Kimberly L Traver | Nurse Practitioner | 6149 N. Wayne Road, Westland, MI 48185 | 2018-11-27 |
| 1710456421 | Infinity Physical Therapy | Occupational Therapy Assistant | 36413 Warren Road, Westland, MI 48185 | 2018-11-26 |
| 1770071391 | Woodcrest Rx LLC. | Pharmacy | 8301 North Wayne Rd., Westland, MI 48185 | 2018-04-30 |
| 1922522952 | Regina Amadi | Pharmacist | 30785 Ann Arbor Trail, Westland, MI 48185 | 2017-08-01 |
| 1811417637 | Jacob Davis Adams | Specialist/Technologist | 34610 Parkgrove, Westland, MI 48185 | 2017-06-22 |
| 1336677533 | Mark Brian Beathard | Counselor | 8623 N. Wayne Road, Suite 310, Adult Outpatient Services for Smi, Westland, MI 48185 | 2017-06-01 |
| 1164965240 | Murray Dalton | Social Worker | 8623 N. Wayne Rd, Suite 310, Westland, MI 48185 | 2016-11-22 |
| 1962953505 | Krishaun Harris | Technician, Other | 8181 N.wayne Rd, Apt.2131, Westland, MI 48185 | 2016-10-19 |
| 1417408089 | Joseph E Silver Dpm PC | Podiatrist | 35337 W Warren Ave, Westland, MI 48185 | 2016-10-19 |
| 1043769813 | Joy Hix Pharmacy LLC | Pharmacy | 38409 Joy Rd, Westland, MI 48185 | 2016-09-22 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417483678 | Heidi Harmony Romero | Nurse Practitioner | 1952 Treadwell St, Westland, MI 48186 | 2017-05-10 |
| 1144723222 | Casey Martens | Nurse Practitioner | 2001 S Merriman Rd, Westland, MI 48186-5539 | 2018-03-14 |
| 1811257603 | Linda Minns | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2012-05-25 |
| 1194800573 | Ronald Drinkert | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-10-26 |
| 1568551349 | Kathleen Step | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-10-12 |
| 1629167341 | Lisa Joy Gallmore | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-10-12 |
| 1033208632 | Sue Fink | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-10-12 |
| 1265521942 | Ranganath Athri | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-10-12 |
| 1285729681 | Melissa Ann Peura | Nurse Practitioner | 33475 Palmer Rd, Westland, MI 48186-4614 | 2006-10-03 |
| 1821196346 | Millennium Medical Group West PC | Nurse Practitioner | 6149 N Wayne Rd, Westland, MI 48185-7128 | 2006-09-20 |
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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.