DIANA J FUSSELMAN


Address: 550 N Hillside, Wichita, KS 67214
Phone: 3169628580

DIANA J FUSSELMAN (NPI# 1861587636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861587636
Entity Type Individual
Full Name DIANA J FUSSELMAN
Credential ARNP
Practice Address 550 N Hillside
Wichita
KS 67214
Mailing Address Po Box 47530
Wichita
KS 67201
Practice Telephone 3169628580
Practice Fax Number 3169628581
Mailing Telephone 3169623150
Mailing Fax Number 3169627334
Enumeration Date 2006-10-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
45463 KS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KS BCBS OF KANSAS 161301 01
KS 200260620A 05
KS FIRSTGUARD 631421 01

Office Location

Street Address 550 N HILLSIDE
City WICHITA
State KS
Zip Code 67214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427040617 Andrea L Davis Anesthesiology 550 N Hillside, Wichita, KS 67214 2005-08-16
1336533587 Paul Rafael Teran Pediatrics 550 N Hillside, Wichita, KS 67214 2015-03-26
1588070130 Nisha Agasthya Pediatrics 550 N Hillside, Wesley Medical Center/picu, Wichita, KS 67214 2014-07-03
1023395571 Lynna Toy Nurse Practitioner 550 N Hillside, Wichita, KS 67214-4910 2011-11-11
1003902826 Kathryn M Filby Nurse Practitioner 550 N Hillside, Wichita, KS 67214 2006-10-05
1063508778 Keri B Flowers Nurse Practitioner 550 N Hillside, Wichita, KS 67214 2006-10-04
1295833275 Wesley Medical Center LLC Internal Medicine 550 N Hillside, Wichita, KS 67214 2006-09-21
1679594907 Jeanne L Wescoat Nurse Anesthetist, Certified Registered 550 N Hillside, Wichita, KS 67214 2006-07-21
1720007404 Timothy M Gronlie Radiology 550 N Hillside, Wichita, KS 67214-4910 2006-07-19
1245202332 Andrea L Strecker Nurse Anesthetist, Certified Registered 550 N Hillside, Wichita, KS 67214 2006-02-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124591185 Laquita Patrice Boyede Durable Medical Equipment & Medical Supplies 1503 Northeast Parkway, Wichita, KS 67214 2019-01-02
1891270674 Kathryn Denise Boomer Physician Assistant 929 St. Francis N, Wichita, KS 67214 2018-09-27
1447756457 Cardinal Health 132 LLC Pharmacy 527 N Grove Street, Suite 100, Wichita, KS 67214 2018-03-30
1023517174 Laboratory Corporation of America Holdings Clinical Medical Laboratory 3243 E Murdock Street, Level G, Wichita, KS 67214 2018-02-05
1558887901 Shonnetta Lachan Gabriel Counselor 2707 E. 21st St. N, Wichita, KS 67214 2017-08-17
1417492174 Walgreen Co Durable Medical Equipment & Medical Supplies 803 N Broadway Ave, Wichita, KS 67214 2017-01-04
1952850653 Rachel J Johnson Counselor 805 N Volutsia, Wichita, KS 67214 2016-09-23
1063899813 Christy Lee Foos Social Worker 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 2015-04-30
1952708018 William Schroeder Fargo Specialist 701 N. Emporia, Wichita, KS 67214 2014-12-04
1447692710 Valeriya V Hunter Dentist 527 N Grove, Wichita, KS 67214 2013-07-26
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Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366926024 Daninaca Cassie Bawl Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2018-09-19
1922510452 Erin Leslie Claphan Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2017-10-24
1730699844 Anna Marie Sewell Nurse Practitioner 3600 E Harry St, Wichita, KS 67218-3713 2017-10-03
1689122798 Erin Groves Nurse Practitioner 550 N Hillside St, Neonatology, Wichita, KS 67214-4910 2016-09-17
1134508088 Victoria Capps Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2015-05-26
1124384995 Dietra A Leastman Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2012-04-06
1821387077 Elizabeth A Green Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2011-03-28
1306145008 Amber C Gumm Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2011-03-21
1164668810 Christopher S. Huxman Nurse Practitioner 550 N Hillside St, Wichita, KS 67214-4910 2008-12-31
1003902826 Kathryn M Filby Nurse Practitioner 550 N Hillside, Wichita, KS 67214 2006-10-05
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67214

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Dataset Information

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.

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