MS. MARIE HELEN DIETRICH


Address: 201 S Gammon Rd, Madison, WI 53717-1404
Phone: 6086636071

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).

Provider Overview

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

Taxonomy

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

Other Providers MARIE DIETRICH

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

Office Location

Street Address 201 S GAMMON RD
City MADISON
State WI
Zip Code 53717-1404

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720540164 Apex Chiropractic Center LLC Chiropractor 562 Junction Road, Madison, WI 53717 2019-04-04
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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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MADISON
Zip Code 53717

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Dataset Information

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.

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