ELIZABETH DIECKMAN (NPI# 1699947366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699947366 |
| Entity Type | Individual |
| Full Name | ELIZABETH DIECKMAN |
| Practice Address |
260 S Broad St Philadelphia PA 19102-5021 |
| Mailing Address |
5675 N Front St Philadelphia PA 19120-2719 |
| Practice Telephone | 2159852500 |
| Practice Fax Number | 2677652325 |
| Mailing Telephone | 2152799666 |
| Mailing Fax Number | 2152799674 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP008971 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1022188860001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750727178 | Elizabeth A Dieckman | Pediatrics | 2200 Whitney Ave, Suite 240, Hamden, CT 06518-3691 | 2013-05-13 |
| Street Address |
260 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673570 | Anna Devries Lawler | Psychologist | 260 S Broad St, Philadelphia, PA 19102-5021 | 2006-08-30 |
| 1134563539 | Sandra Blatz | Clinical Nurse Specialist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2013-04-29 |
| 1962755819 | Sandra Orlin | Registered Nurse | 260 S Broad St, Philadelphia, PA 19102-5021 | 2012-10-16 |
| 1134434947 | Amy Patrice Kinateder | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2010-08-17 |
| 1710292529 | Blair Hawes Davies Lamb | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2010-08-17 |
| 1174782098 | Erin Graham | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-06-05 |
| 1972779288 | Tracey Morris | Marriage & Family Therapist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-05-06 |
| 1992971337 | Kelli S Dunham | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-05-06 |
| 1124204904 | National Nursing Centers Consortium | Social Worker | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-01-11 |
| 1376725192 | Suzanne Muench | Social Worker | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454051 | Violet Anderson | Nurse Practitioner | 2338 S Broad St, Philadelphia, PA 19145-4450 | 2020-10-15 |
| 1568078582 | Lynell Wiggins | Nurse Practitioner | 1605 N 77th St, Philadelphia, PA 19151-2711 | 2020-09-16 |
| 1508479668 | Frances Laura Israel | Nurse Practitioner | 1913 Lansing St, Philadelphia, PA 19111-3505 | 2020-08-28 |
| 1063024529 | April Lee Fligor | Nurse Practitioner | 148 Osborn St, Philadelphia, PA 19128-3709 | 2020-08-17 |
| 1861010597 | Brooke Brady Bell | Nurse Practitioner | 840 Walnut St Fl 15, Philadelphia, PA 19107-5109 | 2020-07-09 |
| 1780208090 | Kimberly Mae Behney | Nurse Practitioner | 8815 Germantown Ave Ste 20, Philadelphia, PA 19118-2722 | 2020-06-02 |
| 1811525819 | Jacqueline Baker | Nurse Practitioner | 4700 Wissahickon Ave Ste 110, Philadelphia, PA 19144-4252 | 2020-03-27 |
| 1720612914 | Zakiyyah Muhsin-fall | Nurse Practitioner | 499 N 5th St Ste A, Philadelphia, PA 19123-4005 | 2020-02-26 |
| 1386276152 | Mercedes Harley | Nurse Practitioner | 4151 Robbins Ave, Philadelphia, PA 19135-3021 | 2020-02-10 |
| 1467083063 | Tara Lynne Weaver | Nurse Practitioner | 800 Walnut St Fl 18, Philadelphia, PA 19107-5176 | 2020-02-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on ELIZABETH DIECKMAN.
| 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.