MS. DIANA ALTHEA JENSEN (NPI# 1811971005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811971005 |
| Entity Type | Individual |
| Full Name | MS. DIANA ALTHEA JENSEN |
| Other Name | DIANA ALTHEA JENSEN |
| Credential | MD |
| Practice Address |
40 Lambert St Suite 411, Staunton Medical Center Staunton VA 24401-2446 |
| Practice Telephone | 5408860827 |
| Practice Fax Number | 5408866360 |
| Mailing Telephone | 5408860827 |
| Mailing Fax Number | 5408866360 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2009-11-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101046988 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAMSI | 2114197 | 01 |
| VA | BCBS | 038612 | 01 |
| VA | 5604249 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164935946 | Diana Jensen | Registered Nurse | 350 Parrish St, Canandaigua, NY 14424-1731 | 2017-11-15 |
| 1902954340 | Diana E. Jensen | Psychologist | 5335 Wisconsin Ave Nw, Suite 440, Washington, DC 20015-2030 | 2007-01-08 |
| Street Address |
40 LAMBERT ST SUITE 411, STAUNTON MEDICAL CENTER |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730162116 | Roman Sachno | Internal Medicine | 40 Lambert St, Ste 321, Staunton, VA 24401-2446 | 2005-11-21 |
| 1104287168 | Blue Ridge Neuropsychology PC | Psychologist | 40 Lambert St, Ste 222, Staunton, VA 24401-2446 | 2016-03-17 |
| 1730454497 | Mykal Ann Stanley | Psychologist | 40 Lambert St, Suite 222, Staunton, VA 24401-2446 | 2012-03-14 |
| 1467789875 | Craig Shealy | Psychologist | 40 Lambert St, Suite 222, Staunton, VA 24401-2446 | 2009-11-05 |
| 1235386475 | Jo Ann Shoemaker | Counselor | 40 Lambert St, 222, Staunton, VA 24401-2446 | 2008-08-19 |
| 1750554036 | Thomas Vincent Ryan | Psychologist | 40 Lambert St, Suite 222, Staunton, VA 24401 | 2008-04-08 |
| 1295833663 | Penelope Ann Critzer | Social Worker | 40 Lambert St, Suite 222, Staunton, VA 24401-2446 | 2006-09-20 |
| 1528071537 | Alan Jeffrey White | Dentist | 40 Lambert St, Suite #211, Staunton, VA 24401 | 2006-08-14 |
| 1588673958 | Charmi Neely | Marriage & Family Therapist | 40 Lambert St, Suite 222, Staunton, VA 24401-2446 | 2006-08-05 |
| 1285642413 | Mark Morgan Roebuck | Social Worker | 40 Lambert St, Suite 222, Staunton, VA 24401 | 2006-08-03 |
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|---|---|---|---|---|
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| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
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| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
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| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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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.