MS. DIANNE DENISE ANDRICK (NPI# 1710105861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710105861 |
| Entity Type | Individual |
| Full Name | MS. DIANNE DENISE ANDRICK |
| Credential | MC, LPC, LISAC |
| Practice Address |
350 N Wilmot Rd Tucson AZ 85711-2602 |
| Mailing Address |
Po Box 13429 Tucson AZ 85732-3429 |
| Practice Telephone | 5204444624 |
| Mailing Telephone | 5204444624 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2009-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0372 | AZ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1689 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AHCCCS | 842410 | 01 |
| Street Address |
350 N WILMOT RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586869 | Emergency Room Associates Limited | Emergency Medicine | 350 N Wilmot Rd, Tucson, AZ 85711 | 2005-05-23 |
| 1831707579 | Landon C Richardson | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2020-07-20 |
| 1497380877 | Eric G Martinez | Technician, Other | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2020-03-06 |
| 1427680131 | Spencer Judd | Registered Nurse | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2020-02-10 |
| 1639720063 | Southern Arizona Laborists | Hospitalist | 350 N Wilmot Rd, Tucson, AZ 85711-2678 | 2019-09-26 |
| 1104475482 | Debra Lynn Jackley | Nurse Practitioner | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2019-09-09 |
| 1376102301 | Candice Cameron | Specialist/Technologist, Other | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2019-06-12 |
| 1932662764 | Herbert R Britanico | Emergency Medicine | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2019-04-09 |
| 1629557798 | Hospitalist Medicine Physicians of Arizona - Tucson, Inc. | Internal Medicine | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2018-08-09 |
| 1134613938 | Michelle Ann Cambern | Registered Nurse | 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 2018-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811509581 | Creosote Mental Health Group | Counselor | 4646 N Swan Rd Ste 105, Tucson, AZ 85718-6715 | 2020-08-23 |
| 1497366314 | Cachora Standifer | Counselor | 6294 S Eagles Talon Pkwy, Tucson, AZ 85757-1639 | 2020-08-13 |
| 1508490673 | Terrence Hickey | Counselor | 11235 E Sundance Dr, Tucson, AZ 85749-8280 | 2020-02-27 |
| 1568092815 | Travis Anderson | Counselor | 2002 W Anklam Rd, Tucson, AZ 85745-2148 | 2020-01-24 |
| 1740830447 | Let All Thrive, LLC | Counselor | 1580 N Kolb Rd Ste 200, Tucson, AZ 85715-4933 | 2019-09-13 |
| 1316424526 | Wendy Sizer LLC | Counselor | 425 W Paseo Redondo Apt 3b, Tucson, AZ 85701-8258 | 2018-07-20 |
| 1841705043 | Cynthia Miller Potter | Counselor | 4144 E Broadway Blvd, Tucson, AZ 85711-3455 | 2017-12-10 |
| 1447791165 | Juan M. Salgado | Counselor | 7490 S. Camino De Oeste, Tucson, AZ 85757 | 2017-03-14 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1104374255 | Shannon Dexter Petrovich | Counselor | 5855 N Kolb Rd Unit 4208, Tucson, AZ 85750-0991 | 2016-09-19 |
| Find all providers in TUCSON | ||||
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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.