MS. SUZANNE DIETZ (NPI# 1033113535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033113535 |
| Entity Type | Individual |
| Full Name | MS. SUZANNE DIETZ |
| Credential | PNP |
| Practice Address |
2200 Tydd St Eureka CA 95501-1284 |
| Mailing Address |
670 9th St Ste 203 Arcata CA 95521-6249 |
| Practice Telephone | 7072697051 |
| Practice Fax Number | 7072697054 |
| Mailing Telephone | 7072697051 |
| Mailing Fax Number | 7072697054 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 264132 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2800 Harris St, Eureka, CA 955034809 | 7074458416 | 7074454182 |
| Street Address |
2200 TYDD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864756 | Shoua Lor | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-09-03 |
| 1487264586 | Susan Kang Blackburn | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-08-04 |
| 1104434364 | Gift Oluchi Okwandu | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2020-07-14 |
| 1942858790 | Haley April Davies | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-26 |
| 1568010312 | Gianvieve Schwirblat | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-26 |
| 1780230425 | Genay Marie Lebeuf | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-16 |
| 1447817184 | Marresa Chinwe Ozokwere | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-05-28 |
| 1104480953 | Anna Page Strunk | Registered Nurse | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-04-26 |
| 1174001986 | Patricia Lan Carter | Physician Assistant | 2200 Tydd St, Eureka, CA 95501-1284 | 2018-08-02 |
| 1295211969 | Lauren Nichole Karasek | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780785923 | Joette Louise Lucco | Nurse Practitioner | 3225 Timber Fall Ct, Eureka, CA 95503-4892 | 2006-09-26 |
| 1487650321 | Anne S Carlisle | Nurse Practitioner | 525 2nd St, Suite 219, Eureka, CA 95501-5107 | 2005-06-24 |
| 1245837095 | Kimberly A Riley | Nurse Practitioner | 2773 Harris St Ste A, Eureka, CA 95503-4866 | 2020-10-05 |
| 1942858790 | Haley April Davies | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2019-08-26 |
| 1629528245 | Carolyn Bird Boley | Nurse Practitioner | 2700 Dolbeer St, Eureka, CA 95501-4736 | 2016-10-06 |
| 1881149219 | Stephanie Pasley | Nurse Practitioner | 1932 S Main St, Eureka, IL 61530-1666 | 2016-08-15 |
| 1982018966 | Allegra Stroup | Nurse Practitioner | 2200 Tydd St, Eureka, CA 95501-1284 | 2014-06-17 |
| 1669775490 | Alison Elizabeth Dunn | Nurse Practitioner | 2350 Buhne St, Suite C, Eureka, CA 95501-3238 | 2010-12-16 |
| 1629393632 | Oluyemisi Olayinka Adedotun | Nurse Practitioner | 250 South Main Street, Eureka, NV 89316 | 2010-04-01 |
| 1962644096 | Camille Menino | Nurse Practitioner | 2710 Dolbeer St, Eureka, CA 95501-4736 | 2009-04-06 |
| Find all providers in EUREKA | ||||
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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.