KATHY DIANE TIESSEN (NPI# 1023106218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023106218 |
| Entity Type | Individual |
| Full Name | KATHY DIANE TIESSEN |
| Credential | R.N. |
| Practice Address |
1400 N Eleven Mile Corner Rd Casa Grande AZ 85222-9187 |
| Mailing Address |
Po Box 3125 Eleven Mile Corner AZ 85222-0125 |
| Practice Telephone | 5207236700 |
| Practice Fax Number | 5207237232 |
| Mailing Telephone | 5207236700 |
| Mailing Fax Number | 5207237232 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
RN135006 | AZ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 133418 | 05 |
| Street Address |
1400 N ELEVEN MILE CORNER RD |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85222-9187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366537276 | Dana Lynn Holtz | Counselor | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85222-9187 | 2006-10-04 |
| 1255589685 | Megan Ann Miller | Speech-Language Pathologist | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85294-9187 | 2008-08-27 |
| 1821141060 | Mary C. O'brien School | Local Education Agency (LEA) | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85294-9187 | 2007-01-19 |
| 1750478244 | Leticia Marie Valdez | Counselor | 1400 N Eleven Mile Corner Rd, Casa Grande, AZ 85222-9187 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699184093 | Hemali Paton | Pharmacist | 1741 E. Florence Blvd., Casa Grande, AZ 85222 | 2014-08-11 |
| 1023249893 | Krista Marie Nielsen | Nurse Practitioner | 1676 E. Mcmurray Blvd, Cgrmc Urgent Care, Casa Grande, AZ 85222 | 2009-07-28 |
| 1639333479 | Villago Marketplace Dental Care PC | Dentist | 2876 N Pinal Ave, Suite 4, Casa Grande, AZ 85222 | 2008-07-10 |
| 1487811790 | Ashley Vander Weel | Dietitian, Registered | 351 N Peart Rd, Apt 325, Casa Grande, AZ 85222 | 2008-05-22 |
| 1205022787 | Linda C Cassidy | Registered Nurse | 2730 North Trekell Road, Casa Grande Union High School, Casa Grande, AZ 85222 | 2007-09-19 |
| 1104021476 | Jeremy Wade Cull | Dentist | 1876 E Sabin Drive Suite #18, Casa Grande, AZ 85222 | 2007-06-18 |
| 1841404852 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 467 East Dragon Springs Dr, Casa Grande, AZ 85222 | 2007-05-09 |
| 1013137827 | Namninder S Grn | Dentist | 1677 E Florence Blvd, #24, Casa Grande, AZ 85222 | 2007-04-26 |
| 1528189529 | Jewell Lavoo | Registered Nurse | 129 N Arizola Rd, Casa Grande, AZ 85222 | 2007-04-03 |
| 1922148089 | Martha Dawn Jones-baer | Registered Nurse | 1220 E. Kortsen Dr, Cactus Middle School, Casa Grande, AZ 85222 | 2007-02-07 |
| Find all providers in zip 85222 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706975 | Susanne Marie Angela Gunther | Registered Nurse | 14037 E Red Bird Rd, Scottsdale, AZ 85262-9543 | 2020-10-02 |
| 1679196158 | Mary Sandra Whitlatch | Registered Nurse | 4939 W Ray Rd Ste 4-312, Chandler, AZ 85226-2065 | 2020-05-19 |
| 1992327043 | Patricia Marie Lewis | Registered Nurse | 1848 N Somerset, Mesa, AZ 85205-3583 | 2020-05-12 |
| 1326527391 | Lori Ann Sparks Corgan | Registered Nurse | 14256 W Cora Ln, Goodyear, AZ 85395-8480 | 2018-08-10 |
| 1629586912 | Marc Completo | Registered Nurse | 5217 W Spur Dr, Phoenix, AZ 85083-1285 | 2018-01-20 |
| 1043728330 | Marina Louise Gierish | Registered Nurse | 20856 N 88th Dr, Peoria, AZ 85382-6433 | 2018-01-20 |
| 1588113708 | Nanette Hernandez | Registered Nurse | 5008 E Thomas Rd, Phoenix, AZ 85018-7956 | 2016-09-29 |
| 1518332139 | Lelabeth Pearson | Registered Nurse | Interstate 19 and State Route 86, Sells, AZ 85634-0548 | 2015-12-08 |
| 1720450307 | Melissa Johnson | Registered Nurse | 4836 E Williams Dr, Phoenix, AZ 85054-6169 | 2015-10-22 |
| 1295147957 | Jennifer Ann Meiser Hayes | Registered Nurse | 908 W Anderson Rd, Flagstaff, AZ 86001-1111 | 2014-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CASA GRANDE |
| Zip Code | 85222 |
Please comment or provide details below to improve the information on KATHY DIANE TIESSEN.
| 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.