ERIN DIEDRICK (NPI# 1699906016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699906016 |
| Entity Type | Individual |
| Full Name | ERIN DIEDRICK |
| Credential | OT |
| Practice Address |
316 E 14th St Kaukauna WI 54130-3304 |
| Mailing Address |
W994 County Road Jj Kaukauna WI 54130-9639 |
| Practice Telephone | 9207666020 |
| Mailing Telephone | 9207590894 |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2009-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2988 | WI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467980540 | Erin Marie Diedrick | Physician Assistant | 5045 W Grande Market Dr, Appleton, WI 54913-8517 | 2017-06-01 |
| Street Address |
316 E 14TH ST |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130-3304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093786543 | St Paul Elder Services, Inc | Skilled Nursing Facility | 316 E 14th St, Kaukauna, WI 54130-3304 | 2006-01-31 |
| 1710416516 | Hannah Williams | Physical Therapist | 316 E 14th St, Kaukauna, WI 54130-3304 | 2017-06-06 |
| 1962803262 | Rebecca Lynn Vanderloop | Physical Therapy Assistant | 316 E 14th St, Kaukauna, WI 54130-3304 | 2014-09-06 |
| 1770908279 | Jennifer Depies | Occupational Therapist | 316 E 14th St, Kaukauna, WI 54130-3304 | 2014-02-20 |
| 1235567330 | Brian A Miller | Occupational Therapy Assistant | 316 E 14th St, Kaukauna, WI 54130-3304 | 2013-10-29 |
| 1215374053 | Allison Marie Tatrai | Physical Therapy Assistant | 316 E 14th St, Kaukauna, WI 54130-3304 | 2013-06-03 |
| 1457643009 | Maureen R Birk | Physical Therapist | 316 E 14th St, St. Paul Elder Services, Kaukauna, WI 54130-3304 | 2011-05-13 |
| 1053549980 | St Paul Elder Services Inc | Nursing Facility/Intermediate Care Facility | 316 E 14th St, Kaukauna, WI 54130-3304 | 2009-06-30 |
| 1972731966 | Laura Huss | Physical Therapist | 316 E 14th St, Kaukauna, WI 54130-3304 | 2009-06-29 |
| 1962630301 | St Paul Elder Services Inc | Skilled Nursing Facility | 316 E 14th St, Kaukauna, WI 54130-3304 | 2009-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1386978260 | Jennifer Lea Baumgart | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130 | 2009-09-25 |
| Find all providers in zip 54130 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053549980 | St Paul Elder Services Inc | Nursing Facility/Intermediate Care Facility | 316 E 14th St, Kaukauna, WI 54130-3304 | 2009-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504600 | North Oak Health Care, Inc. | Nursing Facility/Intermediate Care Facility | 1510 S 30th St, Manitowoc, WI 54220-5902 | 2017-05-11 |
| 1235685132 | Richard Hobin II | Nursing Facility/Intermediate Care Facility | 545 Hillcrest St, Viroqua, WI 54665-1750 | 2016-08-30 |
| 1154723955 | Amber Schmidt | Nursing Facility/Intermediate Care Facility | 113 Baehr St, Cecil, WI 54111-9204 | 2014-09-23 |
| 1184051047 | Amlang LLC | Nursing Facility/Intermediate Care Facility | 8303 Doe Glen Ct, Mount Pleasant, WI 53406-1756 | 2013-10-08 |
| 1427481480 | Madison College | Nursing Facility/Intermediate Care Facility | 1701 Wright St, Madison, WI 53704-2599 | 2013-08-14 |
| 1326310525 | Kate Droster | Nursing Facility/Intermediate Care Facility | 1227 Commonwealth Dr Apt 3, Fort Atkinson, WI 53538-3302 | 2012-02-02 |
| 1659640662 | Debra Jean Schwenn | Nursing Facility/Intermediate Care Facility | 2446 South 102nd Street Suite 340, Mj Care, Milwaukee, WI 53227 | 2011-12-20 |
| 1982999090 | Divine Healthcare Services | Nursing Facility/Intermediate Care Facility | 4238 W Hawthorne Trace Rd Apt 104, Brown Deer, WI 53209-1026 | 2011-06-16 |
| 1043501893 | Denise L Holterman | Nursing Facility/Intermediate Care Facility | 27334 Foxhaven Dr, Wind Lake, WI 53185-1978 | 2011-04-27 |
| 1083937759 | Va Health Care System (644) | Nursing Facility/Intermediate Care Facility | 911 Skyview Ave, Little Chute, WI 54140-2627 | 2010-03-09 |
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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.