JENNY DIETZ (NPI# 1053964452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053964452 |
Entity Type | Individual |
Full Name | JENNY DIETZ |
Practice Address |
Corner of Route N12 and N7 Fort Defiance AZ 86504 |
Mailing Address |
Po Box 649 Fort Defiance AZ 86504-0649 |
Practice Telephone | 9287298000 |
Enumeration Date | 2019-07-24 |
Last Update Date | 2019-11-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60993234 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
C155693 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
11809 241st Ave, Harmony, MN 559396515 | 7197498100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164072625 | Jenny Dietz | Behavioral Analyst | 1630 Manheim Pike Ste 2, Lancaster, PA 17601-3064 | 2019-09-17 |
Street Address |
CORNER OF ROUTE N12 AND N7 |
City | FORT DEFIANCE |
State | AZ |
Zip Code | 86504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326040577 | John R Thompson | Orthopaedic Surgery | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2005-06-01 |
1194348524 | Shanna Michelle George | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-20 |
1265077267 | Stanislava Manojlovic | Pharmacist | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504-0649 | 2019-11-13 |
1033767371 | Dakota Kay | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-08-29 |
1386296648 | Tessa Tahereh Facer | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-16 |
1346892056 | Amanda Barnes | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-12 |
1295206779 | Craig Amidon Fox | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-12-10 |
1134698517 | Christa Lee | Advanced Practice Midwife | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2018-11-15 |
1518440007 | Ethan Curleyhair | Dentist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-09-11 |
1811470776 | Shane Curleyhair | Dentist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-09-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
Find all providers in zip 86504 |
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 |
---|---|---|---|---|
1922608447 | Courtney Tafoya | Nurse Practitioner | 544 S 172nd Ave, Goodyear, AZ 85338-1281 | 2020-10-26 |
1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
1871191593 | Lisa E Legg | Nurse Practitioner | 1480 E Pecos Rd Apt 3107, Gilbert, AZ 85295-1851 | 2020-10-14 |
1619584406 | Preston Strebeck | Nurse Practitioner | 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374 | 2020-09-25 |
1336754332 | Yvonne Maese | Nurse Practitioner | 824 N 99th Ave Ste 107-108, Avondale, AZ 85323-5324 | 2020-09-15 |
1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
1215549274 | Maria Graciela Cornejo | Nurse Practitioner | 3421 S Loback Ln, Gilbert, AZ 85297-7913 | 2020-08-20 |
1013529155 | Mark Skousen | Nurse Practitioner | 1745 W Western Dove Dr, Snowflake, AZ 85937-6185 | 2020-08-19 |
1356953699 | Rebecca Jane Turley | Nurse Practitioner | 1681 S Villas Ln, Chandler, AZ 85286-6805 | 2020-08-18 |
1467064063 | Dylan O'keefe Carey | Nurse Practitioner | 11702 W Fordson Dr, Marana, AZ 85653-7715 | 2020-08-17 |
Find all providers with the same taxonomy |
City | FORT DEFIANCE |
Zip Code | 86504 |
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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.