JOHN WARNER DIETRICH (NPI# 1235413071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235413071 |
Entity Type | Individual |
Full Name | JOHN WARNER DIETRICH |
Credential | FNP |
Practice Address |
330 Ne Barry Rd Kansas City MO 64155-2724 |
Practice Telephone | 7859692304 |
Mailing Telephone | 7859692304 |
Enumeration Date | 2011-09-28 |
Last Update Date | 2017-10-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2011034132 | MO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
53-75495-082 | KS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477607307 | John B. Dietrich II | Chiropractor | 1105 W Grand Ave, Wisconsin Rapids, WI 54495-3349 | 2007-01-22 |
1538300017 | John Kaiser Dietrich | Counselor | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2009-03-13 |
1780899674 | John Louis Dietrich | Dentist | 17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | 2007-05-14 |
1013008275 | John W Dietrich | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2006-09-27 |
1861409609 | John Gilbert Dietrich | Pathology | 701 1st St, Springfield, IL 62781 | 2006-08-02 |
1417927807 | John E Dietrich | Internal Medicine | 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | 2006-01-26 |
Street Address |
330 NE BARRY RD |
City | KANSAS CITY |
State | MO |
Zip Code | 64155-2724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003888439 | Karen K Minor | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2006-02-01 |
1114569514 | My Le Thi Le | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2019-10-17 |
1073971909 | Trisha Anne Cockrell | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2016-02-06 |
1821483249 | Shannon Rose Schloegel | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2015-04-02 |
1093918096 | Deanna Dawn Campbell | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2007-06-07 |
1437193802 | Missouri Cvs Pharmacy LLC | Pharmacy | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2006-06-16 |
1184696262 | Janice G Gordon | Nurse Practitioner | 330 Ne Barry Rd, Kansas City, MO 64155-2724 | 2006-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
Find all providers in zip 64155 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
1487252193 | Julie O'gara | Nurse Practitioner | 9709 Nw 72nd Ter, Kansas City, MO 64152-1813 | 2020-10-14 |
1144836313 | Corinne Lee Nilsen | Nurse Practitioner | 3939 Holmes St, Kansas City, MO 64110-1123 | 2020-09-22 |
1821604430 | Nathan D Burditt | Nurse Practitioner | 5917 Mcgee St, Kansas City, MO 64113-2205 | 2020-09-18 |
1760094577 | Diana Michelle Hiestand | Nurse Practitioner | 250 W 2nd St Apt 4101, Kansas City, MO 64105-2181 | 2020-08-21 |
1093324816 | Claire Sorensen | Nurse Practitioner | 427 E 63rd Ter, Kansas City, MO 64110-3333 | 2020-07-28 |
1003434705 | Kristin A Meyer | Nurse Practitioner | 700 W 31st St Ste 706, Kansas City, MO 64108-3628 | 2020-07-08 |
1023634599 | Sibree L Vickers | Nurse Practitioner | 3627 Ne 85th St, Kansas City, MO 64156-1309 | 2020-06-22 |
1457975625 | Jazmine Ayana Spencer | Nurse Practitioner | 800 E 101st Ter Ste 240, Kansas City, MO 64131-5300 | 2020-06-03 |
1841813706 | Kristine Elizabeth Silcott | Nurse Practitioner | 5239 N Flora Ave, Kansas City, MO 64118-5720 | 2020-05-26 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64155 |
Please comment or provide details below to improve the information on JOHN WARNER DIETRICH.
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.