Diane Jussila Pateman

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501006089 Issued in MI

Practice address

1523 US Highway 131 Ste C
Petoskey, MI 49770-8891

Phone

(231) 347-7272

NPI assigned

Aug 1, 2017

Last updated

Aug 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Center of Petoskey PC

  • Chiropractor
  • Petoskey, MI
  • NPI 1346429016
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1306360284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 US HIGHWAY 131 STE C",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 US HIGHWAY 131 STE C",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708891",
            "telephone_number": "231-347-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEMAN",
        "first_name": "DIANE",
        "middle_name": "JUSSILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Ted Pall Jr., M.D.
• Jessica Panoff, PA-C
• Vincent Paone
• Sandra Ann Parker, RD
• Andrea Parsons, DO
• Gary P Pateman, DC
• Patrick D Richmond DPM PC
• Paul J Sorgi MD PLLC
• Shelley Paulsen, WHNP-BC
• PDS I Michigan Inc (Rite Aid Pharmacy 04410)

• Massage Therapist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.