LYDIA J DIEKMANN (NPI# 1144733130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144733130 |
Entity Type | Individual |
Full Name | LYDIA J DIEKMANN |
Credential | ADT |
Practice Address |
2711 Broadway Ave Ste A00 Slayton MN 56172-1313 |
Practice Telephone | 5078361000 |
Practice Fax Number | 5078361008 |
Mailing Telephone | 5078361000 |
Mailing Fax Number | 5078361008 |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 125K00000X | Advanced Practice Dental Therapist | DT37 | MN | Dental Providers |
Street Address |
2711 BROADWAY AVE STE A00 |
City | SLAYTON |
State | MN |
Zip Code | 56172-1313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023454873 | Rachel Isder | Registered Nurse | 3001 Maple Road, Slayton, MN 56172 | 2013-05-21 |
1184785024 | Prairie View | Intermediate Care Facility, Mentally Retarded | 2220 27th St, Slayton, MN 56172 | 2006-12-13 |
1770778540 | Brian A Chabot | Physician Assistant | 2042 Juniper Ave, Slayton, MN 56172 | 2007-09-13 |
1588778658 | Anthony C Nwakama | Orthopaedic Surgery | 2331 20th St, Slayton, MN 56172-1004 | 2006-08-18 |
1083967244 | Connect Hearing, Inc. | Audiologist | 2331 20th St, Slayton, MN 56172-1004 | 2012-10-24 |
1083778021 | Southwest Minnesota Orthopedics and Sports Medicine, Inc. | Orthopaedic Surgery | 2331 20th St, Slayton, MN 56172-1004 | 2006-12-21 |
1245677590 | Sltn Pharmacy Services, Ltd. | Pharmacy | 2010 Juniper Ave, Slayton, MN 56172-1017 | 2013-05-28 |
1053497214 | County of Murray | General Acute Care Hospital | 2042 Juniper Ave, Slayton, MN 56172-1017 | 2006-10-31 |
1942202403 | Stacy Wahl Slettum | Nurse Practitioner | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2005-08-15 |
1720560089 | Tracy Lynn Hansen | Nurse Practitioner | 2040 Juniper Ave, Slayton, MN 56172-1017 | 2018-09-04 |
Find all providers in zip 56172 |
Taxonomy Code | 125K00000X |
Grouping | Dental Providers |
Classification | Advanced Practice Dental Therapist |
An Advanced Practice Dental Therapist is: (1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or (2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum. The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations. |
Notes: Source: Summarized from Minnesota Statute 150A.106. [7/1/2012: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578117438 | Christina Marie Hubred | Advanced Practice Dental Therapist | Miskovich Dental Clinic, 1121 Se 4th Avenue, Grand Rapids, MN 55744 | 2019-07-30 |
1073872503 | Brieanne Kelsey Borntrager | Advanced Practice Dental Therapist | 13899 Hwy 13 S Frnt Rd, Savage, MN 55378-2135 | 2012-05-03 |
1023541695 | Carley Banks | Advanced Practice Dental Therapist | 1575 20th St Nw, Faribault, MN 55021 | 2017-04-10 |
1033642947 | Lauren Johnson | Advanced Practice Dental Therapist | 1575 20th St Nw, Suite 102, Faribault, MN 55021-2930 | 2017-04-07 |
1063953032 | Ashley Hueman | Advanced Practice Dental Therapist | 973 Skyline Dr Sw, Rochester, MN 55902-1220 | 2017-03-10 |
1124483656 | Tanu Dhoopar | Advanced Practice Dental Therapist | 3152 Minnehaha Ave, Minneapolis, MN 55406-1934 | 2015-12-29 |
1548631187 | Kaitlin Siewert | Advanced Practice Dental Therapist | 520 Main Street, Hawley, MN 56549 | 2015-10-08 |
Please comment or provide details below to improve the information on LYDIA J DIEKMANN.
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.