KIRSTI ANNA DIEHL (NPI# 1184910416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184910416 |
| Entity Type | Individual |
| Full Name | KIRSTI ANNA DIEHL |
| Credential | D.P.M. |
| Practice Address |
830 Chalkstone Ave Providence Vamc, Department of Surgery Providence RI 02908-4734 |
| Practice Telephone | 4012737100 |
| Mailing Telephone | 4012737100 |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2016-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0345 | NH | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | DPM00343 | RI | Podiatric Medicine & Surgery Service Providers |
| Street Address |
830 CHALKSTONE AVE PROVIDENCE VAMC, DEPARTMENT OF SURGERY |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02908-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510853 | Frances Ann Bettencourt | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2005-09-29 |
| 1881295277 | Johnna Bussiere | Nurse's Aide | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-11-03 |
| 1770196578 | Caroline Sophie Holman | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-31 |
| 1104437458 | Vivian Vang | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-11 |
| 1841800604 | Wilcania Baez | Social Worker | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-08-06 |
| 1609484757 | Stephen Soonbeom Kwon | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1972111029 | Keenan Sandouk | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1952919011 | Yumna Arif | Student in an Organized Health Care Education/Training Program | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-07-15 |
| 1760009518 | Hassan Saada | Nurse Practitioner | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-28 |
| 1952927675 | Susannah Kondrath | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771900 | Horizon Wellness | Clinic/Center | 1339 Smith St, North Providence, RI 02908 | 2017-10-12 |
| 1477098069 | Beth Perry | Nurse Practitioner | 830 Chalstone Ave., Providence, RI 02908 | 2017-01-05 |
| 1659788735 | Brandi Kimble | Podiatrist | 825 Chalkstone Avenue, Providence, RI 02908 | 2014-07-21 |
| 1912253675 | Roger Williams Medical Center | Long Term Care Hospital | 25 Chalkstone Ave, Providence, RI 02908 | 2012-07-31 |
| 1669768818 | Elisa Semedo | Physical Therapist | 285 Promenade Street, Providence, RI 02908 | 2011-06-27 |
| 1255655502 | Caregiver Homes of Rhode Island Inc. | Custodial Care Facility | 235 Promenade Street, Providence, RI 02908 | 2010-03-16 |
| 1487884987 | Professional Ambulance LLC | Ambulance | 52 River Ave, Providence, RI 02908 | 2009-07-17 |
| 1609065804 | Stephen W Davis | Family Medicine | 299 Promenade Street, Nhpri, Providence, RI 02908 | 2007-10-24 |
| 1205053899 | John R Ricci | Dentist | 1252 Smith St, Providence, RI 02908 | 2007-04-18 |
| 1871718718 | Brett C Auclaire | Nurse Practitioner | 40 Candace Street, Providence, RI 02908 | 2007-04-16 |
| Find all providers in zip 02908 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664766 | Breelyn Nicole Miles | Podiatrist | 825 Chalkstone Ave Apt 3, Providence, RI 02908-4728 | 2018-07-01 |
| 1437364445 | Daniel J Huff | Podiatrist | 272 N Spring Creek Pkwy, Providence, UT 84332-9775 | 2007-05-12 |
| 1932231396 | Kenneth M. Segal, Dpm, Ltd | Podiatrist | 677 Hope Street, Providence, RI 02906-2651 | 2007-03-12 |
| 1508967258 | Richard C Kumins | Podiatrist | 7 Lincoln Ave, Providence, RI 02906 | 2006-09-26 |
| 1851400568 | Violette Falk | Podiatrist | 30 Wriston Dr, Providence, RI 02906-4819 | 2006-08-29 |
| 1841216256 | Louis Robert Simeone | Podiatrist | 1180 Smith St, Providence, RI 02908-2034 | 2006-07-15 |
| 1962437442 | Alan R. Nowick, Dpm | Podiatrist | 201 Broadway, Providence, RI 02903-3015 | 2006-07-12 |
| 1285691576 | Kenneth M Segal | Podiatrist | 677 Hope St, Providence, RI 02906-2651 | 2006-04-28 |
| 1992791958 | Brian J Albano | Podiatrist | 1075 Smith St, Providence, RI 02908-2700 | 2005-09-26 |
| 1548266323 | Leonard W. Labush | Podiatrist | 154 Waterman St, Providence, RI 02906-3116 | 2005-06-25 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02908 |
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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.