MS. CARLA DIETER (NPI# 1295731644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295731644 |
| Entity Type | Individual |
| Full Name | MS. CARLA DIETER |
| Credential | CNP |
| Practice Address |
Sdsu Health & Counseling Clinc Brookings SD 57007-0001 |
| Mailing Address |
47135 203rd St Brookings SD 57006-5804 |
| Practice Telephone | 6056885588 |
| Mailing Telephone | 6056933123 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SDSU HEALTH & COUNSELING CLINC |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57007-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680826 | Zachary Harbaugh | Specialist/Technologist | South Dakota State University, Brookings, SD 57007 | 2017-03-16 |
| 1689801896 | Sdsu Student Health Clinic | Clinic/Center | N. Campus Drive, Wellness Center, Brookings, SD 57007 | 2009-06-15 |
| 1396343505 | Kaitlyn Mae Fritz | Family Medicine | Wellness Center 103, Brookings, SD 57007-0001 | 2020-10-12 |
| 1548878432 | Maranna Caroline Gunnerson | Specialist/Technologist | 1004 Campanile Ave, Brookings, SD 57007-0001 | 2020-07-16 |
| 1295362028 | Mary Beth Zwart | Specialist/Technologist | 1004 Campanile Avenue, Brookings, SD 57007-0001 | 2020-03-23 |
| 1427490879 | Joshua B Hawkins | Specialist/Technologist | Sdsu 2820 Hper Ctr, Brookings, SD 57007-0001 | 2013-07-26 |
| 1700166865 | Chelsea Leah Miles | Specialist/Technologist | Sdsu, 2820 Hper Center, Brookings, SD 57007-0001 | 2011-08-22 |
| 1063728079 | Kristin Lynn Johannsen | Specialist/Technologist | S Dakota State University 2820 Hper Ctr, Brookings, SD 57007-0001 | 2010-08-27 |
| 1457682890 | Katharine Marie Leuthold | Specialist/Technologist | Spe 150x, Brookings, SD 57007-0001 | 2010-01-25 |
| 1770812455 | Barbara Kay Olinger | Specialist/Technologist | S Dakota State University Hper Ctr, Box 2820, Brookings, SD 57007-0001 | 2009-12-09 |
| Find all providers in zip 57007 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619364742 | Tanya Llanque | Nurse Practitioner | 500 Main Ave Unit 883, Brookings, SD 57006-7647 | 2015-04-15 |
| 1821272790 | Debra Ann Burlage | Nurse Practitioner | Wellness Center 154, 2818, Brookings, SD 57007-0001 | 2007-12-27 |
| 1861538274 | Tracey S Kather | Nurse Practitioner | 97825 Shopping Center Ave., Brookings, OR 97415 | 2007-01-30 |
| 1285710616 | Brenda Fern Andersen | Nurse Practitioner | Sdsu Student Health Clinic, N. Campus Drive, Brookings, SD 57007-0001 | 2006-10-27 |
| 1194807511 | Lindsay Marie Rheault | Nurse Practitioner | Wellness Ctr, Box 2818, Brookings, SD 57007-0001 | 2006-10-19 |
| 1508802802 | Jennifer M. Boyle | Nurse Practitioner | 585 5th St, Brookings, OR 97415-9702 | 2006-06-22 |
| 1235170564 | Carol Oliver | Nurse Practitioner | 413 Mill Beach Rd, Brookings, OR 97415-9690 | 2006-06-09 |
| 1700873528 | Melissa Louise Wilson | Nurse Practitioner | 524 Spruce Street Unit 3, Brookings, OR 97415 | 2005-10-06 |
| 1568461804 | Janine Dawn Bassett | Nurse Practitioner | 400 22nd Ave, Brookings, SD 57006-2450 | 2005-07-19 |
| 1740821453 | Kellie Marie Creaser | Nurse Practitioner | 500 5th St, Brookings, OR 97415-9702 | 2019-10-03 |
| Find all providers in BROOKINGS | ||||
Please comment or provide details below to improve the information on MS. CARLA DIETER.
| 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.