DOMINICA WILHEMINA DIEFFENBACH


Address: 3141 N 3rd Ave, Phoenix, AZ 85013-4360
Phone: 6029141520

DOMINICA WILHEMINA DIEFFENBACH (NPI# 1013427517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013427517
Entity Type Individual
Full Name DOMINICA WILHEMINA DIEFFENBACH
Credential RD
Practice Address 3141 N 3rd Ave
Phoenix
AZ 85013-4360
Mailing Address 2929 E Thomas Rd
Phoenix
AZ 85016-8034
Practice Telephone 6029141520
Practice Fax Number 6022660545
Mailing Telephone 6024705000
Mailing Fax Number 6024705064
Enumeration Date 2017-10-10
Last Update Date 2017-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 1004846 AZ Dietary & Nutritional Service Providers

Office Location

Street Address 3141 N 3RD AVE
City PHOENIX
State AZ
Zip Code 85013-4360

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922006261 Brenda Lue Sipes Pediatrics 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2005-07-11
1609414481 Emily Wirdzek Physical Therapist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2019-12-12
1235793118 Harlyn V. Chacon Social Worker 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2019-04-26
1942794920 Nicholas Andrew Tanner Psychologist 3141 N 3rd Ave, Phoenix, AZ 85013 2018-06-21
1225520760 Olga Elena Fernandez-pereyra Speech-Language Pathologist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2018-05-31
1457860694 Jennifer Lee Jaeckel Social Worker 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2017-09-20
1518413012 Margarita Romero Dietitian, Registered 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2016-08-25
1871945097 Courtney L. Ginter Physical Therapist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2016-07-12
1013362326 Lauren M Zimmerman Speech-Language Pathologist 3141 N 3rd Ave, Phoenix, AZ 85013 2016-04-25
1790151884 Claire Behnke Physical Therapist 3141 N 3rd Ave, Phoenix, AZ 85013-4360 2015-08-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043833700 Marco Antonio Valdez Espinoza Student in an Organized Health Care Education/Training Program 500 W. Thomas Road, Suite 900 A, Phoenix, AZ 85013 2020-05-28
1518588292 Santiago Garcia Ortiz Student in an Organized Health Care Education/Training Program 350w Thomas Rd St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013 2020-05-04
1356811970 Lynne Shaunte Coleman Nurse Practitioner 3633 N 3rd Ave 2019, Phoenix, AZ 85013 2018-11-26
1467949156 Solterra 3rd Indian School Operations, LLC Assisted Living Facility 4000 N 3rd Avenue, Phoenix, AZ 85013 2018-04-18
1083018345 Romelda Antonio Nurse Practitioner 222 W Thomas Rd Ste 212, Phoenix, AZ 85013 2014-10-15
1760890131 Emmitt Michael Thompson General Practice 822 West Earll Drive, Phoenix, AZ 85013 2014-07-29
1902218480 Sreeja Biswas Roy Internal Medicine 350 W Thomas Road, Phoenix, AZ 85013 2014-06-02
1417381120 Osama Qasim Agha Internal Medicine 350 W. Thomas Road, Suite 900a, Phoenix, AZ 85013 2013-08-29
1245679604 Oculist Exceptional Eyewear Pllc Optometrist 5043-b N 7th Ave, Phoenix, AZ 85013 2013-06-19
1760829352 Gina Wilding Nurse Practitioner 500 W Thomas Rd Ste 720, Phoenix, AZ 85013 2013-05-23
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790385938 Kylee Makenna Forden Dietitian, Registered 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 2020-10-27
1407467343 Emily Claire Pelham Dietitian, Registered 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 2020-08-13
1255956264 Carrie Standage-beier Dietitian, Registered 6831 S 42nd Pl, Phoenix, AZ 85042-5209 2020-06-15
1447875513 Tyler M Florek Dietitian, Registered 13815 N 34th Ave, Phoenix, AZ 85053-5611 2020-06-14
1467074468 Caitlin May Winsor Dietitian, Registered 4040 E San Gabriel Ave, Phoenix, AZ 85044-1328 2020-05-12
1366083883 Cameron Scholtz Dietitian, Registered 2138 E Lawrence Rd, Phoenix, AZ 85016-1118 2019-10-06
1588219745 Jordan S Jurek Dietitian, Registered 3815 E Bell Rd # 4250, Phoenix, AZ 85032-2122 2019-08-05
1255984035 Rachel Lyn Masser Dietitian, Registered 2810 E Thomas Rd, Phoenix, AZ 85016-8010 2019-07-19
1811555915 Laurie Bradley Mcdonald Dietitian, Registered 13842 S 32nd St, Phoenix, AZ 85044-3615 2019-06-03
1083270821 Kaitlyn C Werner Dietitian, Registered 3815 E Bell Rd Ste 4250, Phoenix, AZ 85032-2122 2019-05-16
Find all providers in PHOENIX

Competitor

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City PHOENIX
Zip Code 85013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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