JAMES DIECKMAN (NPI# 1619250404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619250404 |
| Entity Type | Individual |
| Full Name | JAMES DIECKMAN |
| Credential | CRNA |
| Practice Address |
1304 Oak St Melbourne FL 32901-3111 |
| Practice Telephone | 3217234723 |
| Practice Fax Number | 3217271448 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | ARNP9330864 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134104391 | James Arthur Dieckman | Social Worker | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2005-12-09 |
| Street Address |
1304 OAK ST |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32901-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962419820 | Daniel Mcdonough | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-02 |
| 1548629108 | The Stingl Family Foundation, Inc | Clinic/Center | 1304 Oak St, Melbourne, FL 32901-3111 | 2016-02-11 |
| 1902243504 | Amanda Nicole Hughes | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2013-05-23 |
| 1083967806 | Jolene Keiko Goranovic | Anesthesiologist Assistant | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-10-17 |
| 1225383318 | Tiffany Anne Vaughn | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-16 |
| 1104181742 | Trisha Jones | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2012-07-10 |
| 1538422688 | Melba Dolores Lopez De Victoria | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32904-3111 | 2012-06-22 |
| 1649568858 | Jenifer Lee James | Nurse Anesthetist, Certified Registered | 1304 Oak St, Brevard Anesthesia Servcies, Melbourne, FL 32901-3111 | 2011-07-21 |
| 1477782282 | Robert Frank Novo | Anesthesiology | 1304 Oak St, Melbourne, FL 32901-3111 | 2009-07-14 |
| 1619110400 | Renee Espinoza Rittgers | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2009-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
| 1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
| 1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
| 1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
| 1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
| 1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
| 1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
| 1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
| 1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
| Find all providers in zip 32901 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609215730 | Kgc Crna LLC | Nurse Anesthetist, Certified Registered | 3337 Cappio Dr, Melbourne, FL 32940-1313 | 2013-06-21 |
| 1356639629 | Brittney Grace | Nurse Anesthetist, Certified Registered | 2136 Dryden Ct, Melbourne, FL 32935-3825 | 2011-07-20 |
| 1417082850 | Jared Saber D'avi | Nurse Anesthetist, Certified Registered | 1040 Inverness Ave, Melbourne, FL 32940-1913 | 2007-02-23 |
| 1164529129 | Salvatore E Bologna | Nurse Anesthetist, Certified Registered | 8040 N Wickham Rd, Melbourne, FL 32940-8298 | 2006-09-20 |
| 1255447223 | Bambi Lynn Durik | Nurse Anesthetist, Certified Registered | 909 E Melbourne Ave, Melbourne, FL 32901-5578 | 2006-08-22 |
| 1073627980 | Patricia Ann Sullivan-liebig | Nurse Anesthetist, Certified Registered | 282 Oak Haven Dr, Melbourne, FL 32940-1810 | 2006-08-18 |
| 1962419820 | Daniel Mcdonough | Nurse Anesthetist, Certified Registered | 1304 Oak St, Melbourne, FL 32901-3111 | 2006-08-02 |
| 1720011877 | Anesthesia Services of Brevard | Nurse Anesthetist, Certified Registered | 315 E Nasa Blvd, Melbourne, FL 32901-1939 | 2006-07-09 |
| 1093747925 | Sandra Jean Bess | Nurse Anesthetist, Certified Registered | 625 Sandpiper Cir, Melbourne, FL 32901-8140 | 2006-07-07 |
| 1427673011 | Jessica Joy Milnor | Nurse Anesthetist, Certified Registered | 1350 Hickory St, Melbourne, FL 32901-3278 | 2020-06-10 |
| Find all providers in MELBOURNE | ||||
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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.