DANETTE LEE DIETHERT (NPI# 1083014385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083014385 |
| Entity Type | Individual |
| Full Name | DANETTE LEE DIETHERT |
| Other Name | DANETTE LEE CHRISTIANSON |
| Credential | PMHNP |
| Practice Address |
523 N 3rd St Brainerd MN 56401-3054 |
| Practice Telephone | 2188292861 |
| Practice Fax Number | 2188283130 |
| Mailing Telephone | 2188292861 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2016-01-07 |
| 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 |
R-104601-4 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
523 N 3RD ST |
| City | BRAINERD |
| State | MN |
| Zip Code | 56401-3054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096496 | Richard F Galbraith | Chiropractor | 523 N 3rd St, Brainerd, MN 56401-3054 | 2005-07-08 |
| 1083211676 | Aaron John Stanley | Student in an Organized Health Care Education/Training Program | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-10-06 |
| 1427675909 | Amanda K Redning | Psychiatry & Neurology | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-06-30 |
| 1508487836 | St Josephs Medical Center | Rehabilitation, Substance Use Disorder Unit | 523 N 3rd St, Brainerd, MN 56401-3054 | 2020-04-28 |
| 1285284240 | Jennifer Lee Stange | Dietitian, Registered | 523 N 3rd St, Brainerd, MN 56401-3054 | 2019-09-12 |
| 1629585302 | Jacob S Brusehaver | Occupational Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2018-01-04 |
| 1669905337 | Tegan Nicole John | Hospitalist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2017-04-09 |
| 1366827750 | Cheryl Winch | Physical Therapist | 523 N 3rd St, Brainerd, MN 56401-3054 | 2015-07-27 |
| 1629450689 | Richard V Castle | Internal Medicine | 523 N 3rd St, Brainerd, MN 56401 | 2015-06-25 |
| 1417336173 | Leah Lempola | Nurse Practitioner | 523 N 3rd St, Medical Staff Office, Brainerd, MN 56401-3054 | 2015-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396222832 | Nicholas James Manning | Physical Therapist | 7350 Clearwater Rd N, Baxter, MN 56401 | 2018-07-27 |
| 1952819757 | Hannah Marie Darabi | Physical Therapist | Essentia Health Rehabilitation Services, 2016 South Sixth Street, Brainer, MN 56401 | 2018-01-15 |
| 1154867406 | Nancy Ann Schauer | Social Worker | 823 Maple Street, Northern Pine Mental Health Center, Brainerd, MN 56401 | 2017-01-10 |
| 1336530310 | Audrey Jean Twit | Pharmacist | 523 North Third Street, Essentia Health St Joseph's Medical Center, Brainerd, MN 56401 | 2015-02-11 |
| 1245638584 | The Renneke Chiropractic Clinic | Physical Therapist | 623 Madison St., Brainerd, MN 56401 | 2014-12-19 |
| 1124420179 | Jenna Niggeler | Acupuncturist | 1001 Kingwood St Ste 119a, Brainerd, MN 56401 | 2014-09-22 |
| 1073933719 | Nicholas Adam Lesmeister | Orthopaedic Surgery | 2014 South 6th Street, Brainerd, MN 56401 | 2014-04-21 |
| 1073864666 | Jennifer L. Owens | Marriage & Family Therapist | 4706 Wilderness Ct Ste 101, Brainerd, MN 56401 | 2012-09-24 |
| 1619297447 | Christine Elaine Smalling | Licensed Practical Nurse | 6317 Estate Circle Drive, Brainerd, MN 56401 | 2010-06-03 |
| 1528241577 | Dannia Lor Vang | Pharmacist | 2024 South 6th St, Clinic Pharmacy, Brainerd, MN 56401 | 2007-12-13 |
| Find all providers in zip 56401 | ||||
| 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 |
|---|---|---|---|---|
| 1962988774 | Rebecca Gonzalez | Nurse Practitioner | 520 Nw 5th St, Brainerd, MN 56401-2902 | 2018-07-15 |
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|---|---|---|---|---|
| 1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
| 1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
| 1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
| 1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
| 1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
| 1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
| 1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
| 1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.