CONNOR DANIEL HARMSEN DIETZ (NPI# 1700350857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700350857 |
Entity Type | Individual |
Full Name | CONNOR DANIEL HARMSEN DIETZ |
Credential | B.S. SLPA |
Practice Address |
5980 Radio Station Rd La Plata MD 20646-3337 |
Mailing Address |
902 Saint Claire Ct Annapolis MD 21409-5679 |
Practice Telephone | 4102120974 |
Enumeration Date | 2019-01-11 |
Last Update Date | 2019-01-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
00156A | MD | Speech, Language and Hearing Service Providers |
Street Address |
5980 RADIO STATION RD |
City | LA PLATA |
State | MD |
Zip Code | 20646-3337 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841323250 | Charles County Board of Education | Counselor | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2007-03-14 |
1043818602 | Virginia Lee Cusick | Physical Therapist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-10-15 |
1619589454 | Erica Lynn Smith | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-22 |
1215549159 | Chelsea Leanne Alcala | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-21 |
1104438043 | Elizabeth Margaret Heinmiller | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-21 |
1679185524 | Sabrina Esther Hernandez | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-21 |
1881206738 | Jalen Poindexter | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-21 |
1740892595 | Katherine Anne Weidner | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-21 |
1417568007 | Brianna Caroline Spilsbury | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2020-08-16 |
1790332716 | Kathryn Miller | Speech-Language Pathologist | 5980 Radio Station Rd, La Plata, MD 20646-3337 | 2019-08-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932718822 | Charles Regional Surgical Center LLC | Clinic/Center | 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 | 2020-07-27 |
1902387988 | Sheldon Villarta | Physical Therapist | 10200 La Plata Town, La Plata, MD 20646 | 2018-08-27 |
1912485244 | Kelli Hill Goldsborough | Nurse Practitioner | 5 N La Plata Ct Ste 101, La Plata, MD 20646 | 2018-07-30 |
1083128490 | Charles County Rescue Squad Inc | Ambulance | 2 Calvert St, La Plata, MD 20646 | 2017-11-21 |
1801261532 | Catherine Deshetler | Social Worker | 5 N Maple Ave Ste 206, La Plata, MD 20646 | 2015-12-07 |
1215346481 | Brittany Godin | Speech-Language Pathologist | 5 Garrett Avenue, La Plata, MD 20646 | 2014-08-12 |
1558787606 | Homeplace Assisted Living | Assisted Living Facility | 10210 La Plata Rd, La Plata, MD 20646 | 2014-03-13 |
1891056628 | Godfrey T Hewitt | Dentist | 6620 Crain Hwy #204, Laplata, MD 20646 | 2012-06-07 |
1740573823 | Armida Bondoc Gonzales | Physical Therapist | 15 S Maple Ave, Apt 2, La Plata, MD 20646 | 2011-05-23 |
1023315348 | Charity E Dugan | Surgery | Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 | 2011-02-23 |
Find all providers in zip 20646 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
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1033716998 | Malik Meeks | Specialist/Technologist | 5625 Allentown Rd Ste 200, Suitland, MD 20746-4521 | 2020-10-05 |
1235653411 | Michanett Rael Luchie | Specialist/Technologist | 9470 Annapolis Rd Ste 409, Lanham, MD 20706-3061 | 2017-07-31 |
1639604416 | Schade Millar | Specialist/Technologist | 4600 Tall Maple Ct, Ellicott City, MD 21043-6762 | 2017-04-28 |
1891127445 | Tiera Chenault | Specialist/Technologist | 21515 Zion Rd, Brookeville, MD 20833-1009 | 2013-08-06 |
1629350699 | Tiffany West | Specialist/Technologist | 2040 E 32nd St, Rm 114, Baltimore, MD 21218-3107 | 2011-09-15 |
1699064212 | Margaret Ann Jones | Specialist/Technologist | 12931 Dean Rd, Silver Spring, MD 20906-5138 | 2011-04-04 |
1548597859 | Geiza Izabel Keller-souza | Specialist/Technologist | 12937 Beethoven Blvd, Silver Spring, MD 20904 | 2009-11-06 |
1568798742 | Irma Azuero | Specialist/Technologist | 9801 Georgia Ave Ste 229, Silver Spring, MD 20902-5276 | 2009-10-23 |
1700111481 | Tulia Maria Orozco | Specialist/Technologist | 690 Concerto Ln, Silver Spring, MD 20901 | 2009-10-13 |
1649812348 | Antoria Yates | Specialist/Technologist | 4451 Parliament Pl Ste A, Lanham, MD 20706-1868 | 2019-10-14 |
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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.