DIANE TRKULJA-CASTRO (NPI# 1689109084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689109084 |
| Entity Type | Individual |
| Full Name | DIANE TRKULJA-CASTRO |
| Practice Address |
311 Boyd Blvd La Porte IN 46350-3965 |
| Practice Telephone | 2194060205 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28187141A | IN | Nursing Service Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71007089A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71007089A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
311 BOYD BLVD |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-3965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598243 | Elizabeth L. Hale | Registered Nurse | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2005-06-14 |
| 1538704101 | Heidi Marie Bickel | Nurse Practitioner | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2019-11-07 |
| 1316599954 | Jessica Hagler | Nurse Practitioner | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2019-07-14 |
| 1922467562 | Laporte Occupational Health Services LLC | Preventive Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2016-02-10 |
| 1467531335 | Indiana University Health La Porte Hospital Inc | Clinic/Center | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-11-03 |
| 1942305305 | Laporte Regional Physician Network | Orthopaedic Surgery | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-09-13 |
| 1750485785 | Laporte Regional Physician Network | Family Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-09-11 |
| 1578677191 | Christopher D Sayers | Internal Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2006-08-19 |
| 1396730008 | John W Luce | Family Medicine | 311 Boyd Blvd, La Porte, IN 46350-3965 | 2005-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
| Find all providers with the same taxonomy | ||||
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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.