DR. PATRICIA DIEFENBACH (NPI# 1003203258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003203258 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA DIEFENBACH |
| Credential | ND, CNS, CPT |
| Practice Address |
6907 Brimstone Ln Fairfax Station VA 22039-1819 |
| Mailing Address |
1900 Mount Vernon Ave Ste 206 Alexandria VA 22301-1302 |
| Practice Telephone | 7036098717 |
| Mailing Telephone | 7036098717 |
| Mailing Fax Number | 7032391565 |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 175F00000X | Naturopath | 000538 | CT | Other Service Providers |
| N | 175F00000X | Naturopath | 0053 | DC | Other Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6907 BRIMSTONE LN |
| City | FAIRFAX STATION |
| State | VA |
| Zip Code | 22039-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427443670 | Natural Integrative Healthcare | Naturopath | 6907 Brimstone Ln, Fairfax Station, VA 22039-1819 | 2015-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114317468 | Trinh Tran | Pharmacist | 9061 Emma Ann Way, Fairfax Station, VA 22039 | 2015-01-26 |
| 1629338975 | Stephen Paul Boglarski | Dentist | 8300 Tabor Lane, Fairfax Station, VA 22039 | 2012-05-21 |
| 1932202181 | Christopher Charles Virusky | Chiropractor | 9015 Silverbrook Road, Suite 105, Fairfax Station, VA 22039 | 2006-09-06 |
| 1366425415 | Margaret Montgomer Jones | Registered Nurse | 8133 Rondelay Ln, Fairfax Station, VA 22039 | 2005-11-22 |
| 1831647239 | Fairfax Internal Medicine and Primary Care PC | Clinic/Center | 5618 Ox Rd, Suite D-2, Fairfax Station, VA 22039 | 2016-09-14 |
| 1750535274 | Catherine M. Janus | Physical Therapist | 5618 Ox Rd, Suite H, Fairfax Station, VA 22039 | 2008-11-11 |
| 1790810547 | Ignaz P Jarbadan Md PC | Internal Medicine | 9015 Silverbrook Road, Ste 106, Fairfax Station, VA 22039 | 2007-02-22 |
| 1548549413 | Roy D. Novick | Dentist | 5616g Ox Rd, Fairfax Station, VA 22039-1018 | 2011-08-10 |
| 1043510639 | Jessica May Cantu-lane | Physical Therapy Assistant | 5618h Ox Rd, Fairfax Station, VA 22039-1018 | 2010-10-28 |
| 1396937553 | Larmour Chiropractic, Inc. | Chiropractor | 5616f Ox Rd, Fairfax Station, VA 22039-1018 | 2007-08-13 |
| Find all providers in zip 22039 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144841750 | Mia Theresa Isaac-mercer | Nutritionist | 311 Ridgeview Dr, Newport News, VA 23608-1290 | 2020-05-05 |
| 1174081228 | Tamara Hoerner | Nutritionist | 8763 Cold Plain Ct, Springfield, VA 22153-2424 | 2019-03-07 |
| 1194298125 | Stephanie Buck | Nutritionist | 13119 Mercury Ln, Fairfax, VA 22033-3712 | 2019-01-02 |
| 1477056489 | Kenda Sutton-el | Nutritionist | 13805 Village Mill Dr Ste 201, Midlothian, VA 23114-4304 | 2018-03-15 |
| 1205337102 | Angela Tavolacci | Nutritionist | 5914 Westchester St, Alexandria, VA 22310-1139 | 2018-02-26 |
| 1134646029 | Alice M Freeman | Nutritionist | 705 Twinridge Ln Ste 6, North Chesterfield, VA 23235-5270 | 2017-08-23 |
| 1093175663 | Firstcare Flu & Wellness, LLC | Nutritionist | 1751 Pinnacle Dr, Suite 600, Mc Lean, VA 22102-4903 | 2016-02-25 |
| 1730562497 | Theresa Rosenthal | Nutritionist | 33 Sugarcamp Ln, Stuarts Draft, VA 24477-2916 | 2015-06-30 |
| 1063819951 | Mita Shah Bhagat | Nutritionist | 13175 Fox Hunt Ln, 163, Herndon, VA 20171-5389 | 2014-11-20 |
| 1639515331 | Ideal Body Wellness | Nutritionist | 8206 Leesburg Pike Ste 302, Vienna, VA 22182-2614 | 2013-05-21 |
| Find all providers with the same taxonomy | ||||
| City | FAIRFAX STATION |
| Zip Code | 22039 |
Please comment or provide details below to improve the information on DR. PATRICIA DIEFENBACH.
| 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.