ADAM DAVID DIEDIKER (NPI# 1134779564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134779564 |
Entity Type | Individual |
Full Name | ADAM DAVID DIEDIKER |
Credential | APRN |
Practice Address |
215 Mcneel Ln North Platte NE 69101-6054 |
Practice Telephone | 3085683800 |
Enumeration Date | 2019-09-17 |
Last Update Date | 2019-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
112955 | NE | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
215 MCNEEL LN |
City | NORTH PLATTE |
State | NE |
Zip Code | 69101-6054 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194741827 | John D Hannah | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2006-07-14 |
1790345536 | Marcelle Strydom | Nurse Practitioner | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2019-06-14 |
1487157459 | North Platte Nebraska Hospital Corporation | Durable Medical Equipment & Medical Supplies | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2018-03-15 |
1073022539 | Kayla Marie Carlson | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2017-09-27 |
1285083337 | Brett Kuhn | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2016-06-09 |
1669856209 | Paul Kuhlman | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2015-07-14 |
1063806222 | Jordan Paul Hiatt | Specialist/Technologist | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2015-03-26 |
1467897926 | Evan Scott Correll | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101 | 2013-05-09 |
1821393281 | Bryce Anthony Jarzynka | Physician Assistant | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2011-01-17 |
1801115811 | North Platte Nebraska Physician Group LLC | Orthopaedic Surgery | 215 Mcneel Ln, North Platte, NE 69101-6054 | 2010-06-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
Find all providers in zip 69101 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104513 | Christy Nickels | Nurse Practitioner | 611 W Francis St Ste 150, North Platte, NE 69101-0614 | 2018-11-29 |
1598160871 | Wise Choice Health Care L.L.C. | Nurse Practitioner | 1220 S Cottonwood St, North Platte, NE 69101-6113 | 2014-10-29 |
1174618458 | Traci L Hoatson | Nurse Practitioner | 408 N Dewey St, North Platte, NE 69101-3907 | 2006-10-04 |
1306494075 | Trista Hidy Borg | Nurse Practitioner | 611 W Francis St Ste 100, North Platte, NE 69101-0614 | 2019-08-27 |
1255990586 | Kathryn Weaver | Nurse Practitioner | 210 Mcneel Ln, North Platte, NE 69101-6290 | 2019-06-11 |
1467938985 | Sheena See | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101 | 2018-07-18 |
1992182620 | Precise Family Care, PC | Nurse Practitioner | 1021 S Cottonwood St, North Platte, NE 69101-6138 | 2015-05-01 |
1578964946 | Abigail J Vieyra | Nurse Practitioner | 811 William Ave, North Platte, NE 69101-6556 | 2014-09-04 |
1154736379 | Analisa Colglazier | Nurse Practitioner | 601 W Leota St, North Platte, NE 69101-6525 | 2014-06-26 |
1851723530 | Charlyne Rae Spangler | Nurse Practitioner | 220 W Leota St, North Platte, NE 69101-6293 | 2013-08-05 |
Find all providers in NORTH PLATTE |
City | NORTH PLATTE |
Zip Code | 69101 |
Please comment or provide details below to improve the information on ADAM DAVID DIEDIKER.
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.