ANGELA LYNN DIETRICH (NPI# 1528667268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528667268 |
Entity Type | Individual |
Full Name | ANGELA LYNN DIETRICH |
Practice Address |
200 E 3rd Ave Ellensburg WA 98926-3347 |
Practice Telephone | 5099686757 |
Enumeration Date | 2020-10-23 |
Last Update Date | 2020-10-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 175T00000X | Peer Specialist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902316276 | Angela D Dietrich | Specialist | 423 N 21st St Ste 102, Camp Hill, PA 17011-2207 | 2017-10-02 |
Street Address |
200 E 3RD AVE |
City | ELLENSBURG |
State | WA |
Zip Code | 98926-3347 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043332133 | The Valley Alcohol Council | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2007-04-06 |
1548884604 | Debbie Ann Lavelle | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2020-06-04 |
1861971814 | Chad Warren Morris | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-10 |
1477032597 | Melissa Frances Simmons | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2018-08-09 |
1871031757 | Dawn Bass | Counselor | 200 E 3rd Ave, Ellensburg, WA 98926-3347 | 2017-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
1821206186 | Peggy Elaine Erickson | Massage Therapist | 314 E 4th, Ellensburg, WA 98926 | 2007-05-18 |
1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
Find all providers in zip 98926 |
Taxonomy Code | 175T00000X |
Grouping | Other Service Providers |
Classification | Peer Specialist |
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376938878 | Evajo Skelton | Peer Specialist | 220 W 4th Ave, Ellensburg, WA 98926-3060 | 2015-04-01 |
1326433988 | Marc Rider | Peer Specialist | 220 W 4th Ave, Ellensburg, WA 98926-3060 | 2015-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
Find all providers with the same taxonomy |
City | ELLENSBURG |
Zip Code | 98926 |
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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.