JENNY DIETZ


Address: Corner of Route N12 and N7, Fort Defiance, AZ 86504
Phone: 9287298000

JENNY DIETZ (NPI# 1053964452) 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) 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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
11809 241st Ave, Harmony, MN 559396515 7197498100

Other Providers JENNY DIETZ

NPI Name Taxonomy Address Enumeration
1164072625 Jenny Dietz Behavioral Analyst 1630 Manheim Pike Ste 2, Lancaster, PA 17601-3064 2019-09-17

Office Location

Street Address CORNER OF ROUTE N12 AND N7
City FORT DEFIANCE
State AZ
Zip Code 86504

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City FORT DEFIANCE
Zip Code 86504

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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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