Diane Frances Tralongo, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002470 Issued in MI

Practice address

3523 Grange Hall Rd
Holly, MI 48442-1007

Phone

(248) 382-5791

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By 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

Other names 1

• Mrs. Diane Frances Kim Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Lansing Urgent Care PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1568688992
  Medicare reassignment Care Compare group
• Holly Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Holly, MI
  • NPI 1831722719
  Medicare reassignment
• Katranji Reconstructive Surgery Institute, PLLC

  dba KRSI;Katranji Hand Center;MichiganTherapy Center;Meridian Surgeons;

  • Surgery of the Hand (Surgery) Physician
  • East Lansing, MI
  • NPI 1336314210
  Medicare reassignment
• Springfield Urgent Care, P.L.L.C.

  • Urgent Care Clinic/Center
  • Clarkston, MI
  • NPI 1144747460
  Medicare reassignment
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)
• Specialty Investments

  dba Spartan Urgent Care

  • Urgent Care Clinic/Center
  • East Lansing, MI
  • NPI 1104101112
  NPD (past)

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1467150763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421007",
            "telephone_number": "248-382-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 GRANGE HALL RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484421007",
            "telephone_number": "248-382-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRALONGO",
        "first_name": "DIANE",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "KIM",
            "middle_name": "FRANCES",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Tatton, MA CCC-SLP
• Ashley Thomas, LLPC
• Thrive Early Speech and Language Services L.L.C.
• Dashawn Tolbert
• Township of Groveland Mi
• Tributary Corporation
• Truharmony PLLC
• Kayla Marie Tubergen, OTD, OTR/L
• Erin Uehara
• Emily Marie Ulewicz, OTRL

• Medical Physician Assistant in Holly, MI
• Providers in Holly, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.