KELLY DIETZEN (NPI# 1760787121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760787121 |
Entity Type | Individual |
Full Name | KELLY DIETZEN |
Credential | LM |
Practice Address |
1327 Campbell St Glendale CA 91207-1446 |
Practice Telephone | 3232404024 |
Mailing Telephone | 3232404024 |
Enumeration Date | 2011-01-17 |
Last Update Date | 2011-01-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 176B00000X | Midwife | 257 | CA | Other Service Providers |
Street Address |
1327 CAMPBELL ST |
City | GLENDALE |
State | CA |
Zip Code | 91207-1446 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356986640 | Mariel Krystel V Llamas | Pharmacist | 150 E Glenoaks Blvd, Glendale, CA 91207 | 2019-11-11 |
1992287445 | Paul Meserkhani Dds Inc | Clinic/Center | 620 E Glenoaks Blvd Ste B, Glendale, CA 91207 | 2018-08-31 |
1760720775 | Mery Mkrtchian | Behavioral Analyst | 402 East Dryden St, #1, Glendale, CA 91207 | 2013-01-25 |
1518215177 | Lusine Dishigrikyan | Pharmacist | 108 E. Kenneth Road, Glendale, CA 91207 | 2012-08-29 |
1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
1215147681 | Pia Bravo Padillo | Physical Therapist | 1254 North Everrett St, Glendale, CA 91207 | 2007-05-23 |
1710106455 | Avi Amit | Physical Therapist | 333 E Glenoaks Blvd Ste 204, Glendale, CA 91207 | 2007-04-24 |
1689733081 | San Cristobal Medical Group Inc | General Practice | 610 N. Central Avenue, Suite109, Los Angeles, CA 91207 | 2006-12-08 |
1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
Find all providers in zip 91207 |
Taxonomy Code | 176B00000X |
Grouping | Other Service Providers |
Classification | Midwife |
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922605914 | Jordan Joy Mccart | Midwife | 1148 Spazier Ave Apt B, Glendale, CA 91201-3771 | 2020-10-03 |
1134628175 | Elizabeth Kate Williams | Midwife | 7026 W Pontiac Dr, Glendale, AZ 85308-9450 | 2018-02-05 |
1912130725 | Marinah Valenzuela Farrell | Midwife | 5315 N 106th Dr, Glendale, AZ 85307-4014 | 2009-08-26 |
1275652562 | Robin Kay Sharples-ray | Midwife | 22005 N 59th Dr, Glendale, AZ 85310-4267 | 2007-03-28 |
1861517294 | Pamela Rose Qualls | Midwife | 5647 W Brown St, Glendale, AZ 85302-1408 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306445481 | Ananda Szerman | Midwife | 3350 Michelle Ct, Simi Valley, CA 93063-1019 | 2020-10-20 |
1629675772 | Amanda Latham | Midwife | 33690 Almond St, Wildomar, CA 92595-8752 | 2020-10-01 |
1093322406 | Catalina Francesca Betty Clark | Midwife | 3203 Johnston Ave, Redondo Beach, CA 90278-1520 | 2020-09-29 |
1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
1548875255 | Charlee Haller | Midwife | 5632 Silverado Trl, Napa, CA 94558-9412 | 2020-09-09 |
1699387217 | Brittany Eldridge | Midwife | 71 Bemis St, San Francisco, CA 94131-3019 | 2020-08-17 |
1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
1225653900 | Kimberly Riego Catbagan Bongcaron | Midwife | 12 Aster Ln, Compton, CA 90221-3823 | 2020-06-09 |
1649894536 | Heba A Hamouda | Midwife | 706 San Diego Ln, Placentia, CA 92870-6218 | 2020-06-05 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KELLY DIETZEN.
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.