MATTHEW DIETZ (NPI# 1043712862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043712862 |
| Entity Type | Individual |
| Full Name | MATTHEW DIETZ |
| Credential | PMHNP-BC, RN |
| Practice Address |
18587 Sigma Rd Ste 260 San Antonio TX 78258 |
| Mailing Address |
18587 Sigma Rd Ste 260 San Antonio TX 78258-4205 |
| Practice Telephone | 2103144564 |
| Mailing Telephone | 2103144564 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2019-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 854944 | TX | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP143192 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18587 Sigma Rd Ste 260, San Antonio, TX 78258 | 2103144564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558494781 | Matthew Dietz | Chiropractor | 5815 Council St Ne, Suite A-1, Cedar Rapids, IA 52402-5893 | 2007-03-14 |
| 1023554342 | Matthew Dietz | Specialist/Technologist, Other | 1141 N Loop 1604 E # 105-612, San Antonio, TX 78232-1339 | 2017-01-10 |
| 1639557291 | Matthew Dietz | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2015-05-14 |
| 1386986909 | Matthew Steven Dietz | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2013-03-21 |
| 1316261449 | Matthew Konrad Dietz | Dentist | 3251 Commerce Dr Ste A, Dekalb, IL 60115-7908 | 2010-03-18 |
| 1689885600 | Matthew Dietz | Orthopaedic Surgery | 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-24 |
| Street Address |
18587 SIGMA RD STE 260 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912083841 | Melissa S Deuter | Psychiatry & Neurology | 18587 Sigma Rd Ste 260, San Antonio, TX 78258-4205 | 2006-10-31 |
| 1629627856 | Dexter Brown | Counselor | 18587 Sigma Rd Ste 260, San Antonio, TX 78258-4205 | 2019-09-10 |
| 1518455963 | Caroline Horton | Physician Assistant | 18587 Sigma Rd Ste 260, San Antonio, TX 78258-4205 | 2018-05-01 |
| 1306395447 | Robin Santamaria | Nurse Practitioner | 18587 Sigma Rd Ste 260, San Antonio, TX 78258-4205 | 2016-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225643968 | Britanni O Greene | Nurse Practitioner | 10650 Culebra Rd # 104-548, San Antonio, TX 78251-4949 | 2020-09-10 |
| 1356955462 | Saeid Nekoueian | Nurse Practitioner | 19506 Flair Oak, San Antonio, TX 78258-3648 | 2020-09-04 |
| 1649806282 | Monique Straker | Nurse Practitioner | 9480 Huebner Rd Ste 210, San Antonio, TX 78240-1657 | 2020-03-16 |
| 1245864396 | Jordan Nichole Davis | Nurse Practitioner | 7035 Pickwell Dr Apt 2100, San Antonio, TX 78223-3385 | 2020-02-27 |
| 1447714274 | Suzanne Perakathu | Nurse Practitioner | 7122 Stonewall Hill, San Antonio, TX 78256 | 2019-01-25 |
| 1023536612 | Olena Shvets | Nurse Practitioner | 311 Camden St # 510, San Antonio, TX 78215-2012 | 2017-09-02 |
| 1528598620 | Dianne Lavin LLC | Nurse Practitioner | 503 Benedict Ct, San Antonio, TX 78258-2545 | 2017-06-13 |
| 1699215293 | Monique Gonzalez | Nurse Practitioner | 311 Camden St., Suite 510, San Antonio, TX 78215 | 2017-03-01 |
| 1215476940 | Vita T Chung | Nurse Practitioner | 8122 Datapoint Dr Ste 1000, San Antonio, TX 78229-3273 | 2017-02-14 |
| 1629512926 | Mark Evans | Nurse Practitioner | 311 Camden St Ste 606, San Antonio, TX 78215-2016 | 2016-12-06 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
Please comment or provide details below to improve the information on MATTHEW DIETZ.
| 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.