Individual provider Active NPI

Dawn Marie Splattstoesser, RN

  • Diabetes Educator Registered Nurse
  • Grand Island, NE
National Provider Identifier
1376267328
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
63037 Issued in NE
Practice address
3563 Prairieview St Ste 200
Grand Island, NE 68803-4442
Phone
(308) 270-7167
Fax
(308) 398-1503
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 63037 NE
Diabetes Educator Registered Nurse 163WD0400X 63037 NE Primary

Addresses

Primary practice location

3563 Prairieview St Ste 200
Grand Island, NE 68803-4442

Mailing address

4030 Indianhead Dr # FR
Grand Island, NE 68803-6431
Phone (308) 379-8203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
63037NEMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Physician Network CurrentSince Nov 3, 2024 Accepting new patients

Locations

3563 Prairieview St
Ste 200
Grand Island, NE 68803
Phone (308) 382-2010

3533 Prairieview St
Grand Island, NE 68803
Phone (308) 675-4557

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1376267328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 INDIANHEAD DR # FR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688036431",
            "telephone_number": "308-379-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 PRAIRIEVIEW ST STE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034442",
            "telephone_number": "308-270-7167",
            "fax_number": "308-398-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPLATTSTOESSER",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NE",
            "license": "63037",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NE",
            "license": "63037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.