DR. LUCILLE A. DIETRICK (NPI# 1073643466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073643466 |
| Entity Type | Individual |
| Full Name | DR. LUCILLE A. DIETRICK |
| Credential | D.C. |
| Practice Address |
620 Congress Pkwy N Athens TN 37303-1618 |
| Practice Telephone | 4237464544 |
| Practice Fax Number | 4237464545 |
| Mailing Telephone | 4237464544 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-12-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1348 | TN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | ACN | 648850 | 01 |
| TN | BCBS | 3151639 | 01 |
| Street Address |
620 CONGRESS PKWY N |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831335595 | Athens Clinic of Chiropractic Inc. | Chiropractor | 620 Congress Pkwy N, Athens, TN 37303-1618 | 2008-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057392 | Kelly Elizabeth Kane | Chiropractor | 29767 Route 220, Athens, PA 18810-9103 | 2020-06-15 |
| 1538675962 | Janet Cheng | Chiropractor | 140 Cleveland Ave, Athens, GA 30601-2318 | 2017-12-21 |
| 1891123493 | Sanford L. Golenberg | Chiropractor | 26 E Park Dr, Athens, OH 45701-5003 | 2013-10-17 |
| 1023378668 | Athens Atlas Chiropractic Center, Inc | Chiropractor | 855 Sunset Dr Ste 8, Athens, GA 30606-7717 | 2012-05-16 |
| 1275834111 | Dr. Karyn L Ross | Chiropractor | 203 South St Ste D, Athens, PA 18810-1146 | 2010-11-09 |
| 1275775132 | Alma Maria Uthlaut | Chiropractor | 216 S Marion St, Suite B, Athens, AL 35611-2568 | 2009-03-24 |
| 1386889723 | Timothy Harold Pierce | Chiropractor | 210 Sanders St, Athens, AL 35611-1420 | 2008-12-15 |
| 1568613057 | Allison Kennamer LLC | Chiropractor | 2080 Prince Ave, Athens, GA 30606-6047 | 2008-10-02 |
| 1972750610 | J. Kenneth Cook | Chiropractor | 101 Cedar Rock Trce, Athens, GA 30605-7701 | 2008-08-25 |
| 1518139419 | Trent Parsons | Chiropractor | 806 S Clinton St, Athens, AL 35611-3540 | 2008-03-31 |
| Find all providers in ATHENS | ||||
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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.