MS. DIANA LYNN HERRICK


Address: 2016 Vadalabene Dr, Maryville, IL 62062-6901
Phone: 6182882970

MS. DIANA LYNN HERRICK (NPI# 1932357472) 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) 1932357472
Entity Type Individual
Full Name MS. DIANA LYNN HERRICK
Credential CNM
Practice Address 2016 Vadalabene Dr
Maryville
IL 62062-6901
Mailing Address 220 E Us Highway 40
Troy
IL 62294-2201
Practice Telephone 6182882970
Practice Fax Number 6182883572
Enumeration Date 2008-09-08
Last Update Date 2016-08-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.006734 IL Physician Assistants & Advanced Practice Nursing Providers
N 367A00000X Advanced Practice Midwife 209.006734041.25 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers DIANA HERRICK

NPI Name Taxonomy Address Enumeration
1326474347 Diana Herrick Home Health Aide 2956 Farmdale Rd, Akron, OH 44312-3561 2013-09-23

Office Location

Street Address 2016 VADALABENE DR
City MARYVILLE
State IL
Zip Code 62062-6901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194710905 Open Mri of Southern Illinois LLC Clinic/Center 2016 Vadalabene Dr, Maryville, IL 62062-6901 2005-09-19
1255805594 Sara Marie Grotefendt Nurse Practitioner 2016 Vadalabene Dr, Maryville, IL 62062-6901 2019-01-21
1356857171 Maryville Womens Center PC Obstetrics & Gynecology 2016 Vadalabene Dr, Maryville, IL 62062-6901 2017-12-15
1801339965 Msa Alliance, LLC Surgery 2016 Vadalabene Dr, Suite B, Maryville, IL 62062-6901 2016-11-22
1184176612 Robin Turner-viviano Counselor 2016 Vadalabene Dr, Suite A, Maryville, IL 62062-6901 2016-11-01
1902252174 Brittany Pierson, LLC Counselor 2016 Vadalabene Dr, Suite A, Maryville, IL 62062-6901 2016-05-06
1912366436 Kacey Panyik Advanced Practice Midwife 2016 Vadalabene Dr, Maryville, IL 62062-6901 2016-02-11
1427416494 Maryville Womens Center Ssr PC Family Medicine 2016 Vadalabene Dr, Suite B, Maryville, IL 62062-6901 2016-02-05
1639429376 Brittany N Pierson Counselor 2016 Vadalabene Dr, Suite A, Maryville, IL 62062-6901 2012-09-10
1609018175 Foley Dental Group, LLC Dentist 2016 Vadalabene Dr, Maryville, IL 62062-6901 2009-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104325091 Jennifer M Oyler Physician Assistant 6812 State Route 162 Suite 120, Maryville, IL 62062 2018-02-06
1710495965 Sarah Elizabeth Barto Family Medicine 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 2018-01-22
1104348085 Lindsey Nicole Langendorf Chiropractor 62 Executive Plaza Ct, Maryville, IL 62062 2017-07-12
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1548657737 Karen Michelle Bertels Emergency Medicine 6800 Il - 162, Maryville, IL 62062 2015-04-25
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1538438445 Casey Elizabeth Wiesemeyer Speech-Language Pathologist 2201 Copper Creek Rd, Maryville, IL 62062 2011-12-21
1407144819 Norah Claire Farley Baker Family Medicine 10 Professional Park Dr., Maryville, IL 62062 2011-07-19
1891092474 Kimberly M Schneider Physician Assistant 20b Professional Park Drive, Maryville, IL 62062 2011-02-17
1669782397 Purandhri Patel Physical Therapist 6820 State Route 162, Maryville, IL 62062 2010-10-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821600693 Tonya Ann Bosaw Nurse Practitioner 6812 State Route 162 Ste 204, Maryville, IL 62062-8562 2020-08-21
1841815701 Samantha Mclean Nurse Practitioner 2005 Kirkland Blvd, Maryville, TN 37803-3600 2020-06-16
1477102713 Tammy Ann Buchanon Nurse Practitioner 2415 Effler Rd, Maryville, TN 37803-6609 2019-09-10
1316500812 Caitlyn Michelle Chaires Nurse Practitioner 525 W Broadway Ave, Maryville, TN 37801-4782 2019-04-19
1316461460 Steven Casey Boring Nurse Practitioner 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 2017-07-31
1477902708 Katherine Buckner Nurse Practitioner 708 Devictor Dr, Maryville, TN 37801-8666 2016-06-07
1124484415 Shannon Everett Nurse Practitioner 1716 Old Mount Tabor Rd, Maryville, TN 37801-7866 2016-01-03
1952797383 Amanda Sue Anderson Nurse Practitioner 144 Oak Hill Dr, Maryville, IL 62062-6475 2015-04-13
1992194401 Alyssa R. Loepker Nurse Practitioner 6812 State Route 162 Ste 120, Maryville, IL 62062-8586 2015-01-21
1477956076 Lori B Crisp Nurse Practitioner 339 Bmh Physicians Office Bldg, Maryville, TN 37804-5820 2014-09-27
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Competitor

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City MARYVILLE
Zip Code 62062

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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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