MS. MARIE HELEN DIETRICH (NPI# 1932471018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932471018 |
Entity Type | Individual |
Full Name | MS. MARIE HELEN DIETRICH |
Credential | CPNP |
Practice Address |
201 S Gammon Rd Madison WI 53717-1404 |
Practice Telephone | 6086636071 |
Practice Fax Number | 6084422196 |
Mailing Telephone | 6086636071 |
Mailing Fax Number | 6084422196 |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-02-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
3652033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
10192030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518034578 | Marie Clare Dietrich | Pediatrics | Kaiser Permanente North Point Tower Suite 1200, 1001 Lakeside Ave, Cleveland, OH 44114-1153 | 2006-11-28 |
1063851947 | Marie Dietrich | Physical Therapy Assistant | 3703 W Lake Ave, Suite 200, Glenview, IL 60026-1223 | 2013-06-24 |
Street Address |
201 S GAMMON RD |
City | MADISON |
State | WI |
Zip Code | 53717-1404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
1467943795 | Brittany Macrander | Speech-Language Pathologist | 701 Deming Way, Madison, WI 53717 | 2018-05-22 |
1144622614 | Christopher Leclair | Pharmacist | 7942 Tree Ln, Suite 201, Madison, WI 53717 | 2014-09-16 |
1740617430 | Martha Darlene Kniffin | Marriage & Family Therapist | 1805 Excelsior Dr, The Family Center, Madison, WI 53717 | 2013-09-26 |
1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
1457622938 | Kimberly F Lauth | Physician Assistant | 1200 Q Hammons Drive, Suite 400, Madison, WI 53717 | 2012-01-16 |
1699042499 | Cameron K Birch | Pharmacist | 9741 Tree Lane, Suite 201, Madison, WI 53717 | 2011-11-22 |
1508023102 | Katherine Jo Hartkopf | Pharmacist | 8501 Excelsior Drive, Rm. 337, Madison, WI 53717 | 2008-05-21 |
1366614885 | Periodontal & Implant Specialists of Madison, LLC | Dentist | 49 N Walbridge Ave., Madison, WI 53717 | 2008-03-25 |
1598961005 | John H Greist | Psychiatry & Neurology | Healthcare Technology Systems, Inc., 7617 Mineral Point Rd., Ste. 300, Madison, WI 53717 | 2007-06-22 |
Find all providers in zip 53717 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508907494 | Amy Morgan Dunlop | Nurse Practitioner | 1000 Edgewood College Dr, Madison, WI 53711-1997 | 2007-02-12 |
1851404396 | Susan Leigh Algood | Nurse Practitioner | 200 Gleaves Street, Suite A, Madison, TN 37115 | 2006-08-17 |
1033176342 | Jayme Lynn Frank | Nurse Practitioner | 5 Wallingford Cir, Madison, WI 53717-1033 | 2006-04-28 |
1386608925 | Sharon A Frierdich | Nurse Practitioner | 9 Oak Grove Dr # 9, Madison, WI 53717-2513 | 2006-04-12 |
1497723951 | Beth Van Den Langenberg | Nurse Practitioner | 600 Highland Avenue, Madison, WI 53792 | 2006-03-10 |
1720050735 | Wendy Mackey | Nurse Practitioner | 230 Boston Post Rd, Madison, CT 06443-2225 | 2006-02-03 |
1255338737 | Susan Margaret Heighway | Nurse Practitioner | 1500 Highland Ave, Rm 169, Madison, WI 53705-2274 | 2005-06-30 |
1538760897 | Shelby Lynne Johnston | Nurse Practitioner | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-11-03 |
1215537659 | Erica Leonna Anderson | Nurse Practitioner | 101 Lexington Dr, Madison, MS 39110-6985 | 2020-10-26 |
1477167146 | Brittany J Storhoff | Nurse Practitioner | 1500 Highland Ave, Madison, WI 53705-2280 | 2020-09-01 |
Find all providers in MADISON |
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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.