DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC
NPI 1235320540
Registered Nurse - Diabetes Educator in Granger, IN

Q: What is Diabetes Association Of St Joseph County Inc's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Active since August 05, 2007

6910 NORTH MAIN ST, BUILDING 9, GRANGER, IN 46530(574) 247-6047(574) 247-6060 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Diabetes Association Of St Joseph County Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIABETES ASSOCIATION OF ST JOSEPH COUNTY INC (NPI 1235320540) is a healthcare organization registered as a diabetes educator in Granger, Indiana and active in the NPI registry since August 2007. The organization lists Bonita A Raine, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1235320540

Entity TypeOrganization

Primary Taxonomy163WD0400X

Legal Business NameDIABETES ASSOCIATION OF ST JOSEPH COUNTY INC

Location Address6910 NORTH MAIN ST, BUILDING 9Granger, IN 46530

Mailing Address6910 North Main Street, Bldg. 9, Mail Unit #10Granger, IN 46530 · (574) 247-6047 · Fax (547) 247-6060

Phone(574) 247-6047

Fax(574) 247-6060

Organization SubpartNo

Authorized OfficialBonita A RaineExecutive Director · (574) 247-6047

Enumeration DateAugust 5, 2007

✔ NPI 1235320540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in IN · 28071850A

6910 NORTH MAIN ST, Granger, IN 46530

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diabetes Association Of St Joseph County Inc's NPI number?

The NPI number for Diabetes Association Of St Joseph County Inc is 1235320540. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Diabetes Association Of St Joseph County Inc located?

Diabetes Association Of St Joseph County Inc is located at 6910 North Main St Building 9, Granger, IN 46530. The listed phone number is (574) 247-6047.

What is Diabetes Association Of St Joseph County Inc's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Diabetes Association Of St Joseph County Inc was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.