Individual provider Active NPI

Dianne Joyce Hoekstra, RN, CNS, APRN, BC

  • Adult Health Clinical Nurse Specialist
  • Saint John, IN
National Provider Identifier
1609964758
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
70000134A Issued in IN
Practice address
9660 Wicker Ave
Saint John, IN 46373-9487
Phone
(219) 365-1166
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 70000134A IN Primary

Addresses

Primary practice location

9660 Wicker Ave
Saint John, IN 46373-9487

Mailing address

3243 202ND St
Lynwood, IL 60411-8708
Phone (708) 474-7745

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
Certified Nurse Specialist, Registered Nurse

State licenses

LicenseStateTypeSpecialty
70000134AINMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609964758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 202ND ST",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604118708",
            "telephone_number": "708-474-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739487",
            "telephone_number": "219-365-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKSTRA",
        "first_name": "DIANNE",
        "middle_name": "JOYCE",
        "credential": "RN, CNS, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IN",
            "license": "70000134A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.