KRISTA LYN DETTLE (NPI# 1699099689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699099689 |
| Entity Type | Individual |
| Full Name | KRISTA LYN DETTLE |
| Practice Address |
38 Glenwood Ave Lake Hiawatha NJ 07034-1013 |
| Practice Telephone | 2017876939 |
| Mailing Telephone | 2017876939 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
37AC00059600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
38 GLENWOOD AVE |
| City | LAKE HIAWATHA |
| State | NJ |
| Zip Code | 07034-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174036396 | National Institute for People With Disabilities of New Jersey | Day Training, Developmentally Disabled Services | Knoll Drive, Lake Hiawatha, NJ 07034 | 2017-11-09 |
| 1306268289 | Melissa Cook | Behavioral Analyst | 179 Lake Shore Drive, Lake Hiawatha, NJ 07034 | 2014-01-13 |
| 1962481101 | Township of Parsippany Troy Hills | Ambulance | 1130 Knoll Road, Lake Hiawatha, NJ 07034 | 2006-01-16 |
| 1841714664 | Walgreen Co | Pharmacy | 480 N Beverwyck Rd, Lake Hiawatha, NJ 07034 | 2017-08-02 |
| 1861660904 | Township of Parsippany | Public Health or Welfare | 1130 Knoll Road, Lake Hiawatha, NJ 07034 | 2008-02-12 |
| 1447885496 | Anuj Sejra | Nurse Practitioner | 18 Midvale Ave, Lake Hiawatha, NJ 07034-1011 | 2020-03-10 |
| 1386253458 | Zhanna Jones | Physician Assistant | 8 Maple Ln, Lake Hiawatha, NJ 07034-1125 | 2020-07-24 |
| 1285818377 | Barbara Dresen | Licensed Practical Nurse | 59a Van Wyk Rd, Lake Hiawatha, NJ 07034-1207 | 2007-12-26 |
| 1902161540 | Maryann Capetillo | Physical Therapist | 106a Dafrack Dr, Lake Hiawatha, NJ 07034-1358 | 2012-07-10 |
| 1962014738 | Rona Anwar | Behavioral Analyst | 93 Chesapeake Ave, Lake Hiawatha, NJ 07034-1715 | 2020-08-21 |
| Find all providers in zip 07034 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821271453 | Peter T Calderwood | Counselor | 9 N Beverwyck Rd, Suite 3, Lake Hiawatha, NJ 07034-2514 | 2007-12-05 |
| 1790104354 | Desiree Tempany | Counselor | 41 Iroquois Ave, Lake Hiawatha, NJ 07034-2305 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042525 | Haydee Pimentel | Counselor | 1306 Fox Run Dr, Plainsboro, NJ 08536-2665 | 2020-10-27 |
| 1750981197 | Timothy Lowe | Counselor | 240 E Westfield Ave Apt C18, Roselle Park, NJ 07204-2326 | 2020-10-26 |
| 1417556069 | Nancy W Bodnar | Counselor | 52 Long Hill Rd, Long Valley, NJ 07853-3074 | 2020-10-23 |
| 1497354260 | Michele Marie Bruce | Counselor | 5 Horizon Rd Apt 306, Fort Lee, NJ 07024-6627 | 2020-10-22 |
| 1851990220 | Tzvi Friedman | Counselor | 308 South Pkwy, Clifton, NJ 07014-1223 | 2020-10-18 |
| 1285232702 | Guided Growth Therapy, LLC | Counselor | 230 Kings Hwy E Ste 140, Haddonfield, NJ 08033-1907 | 2020-10-16 |
| 1306444518 | Mindful Health Tbi Center Inc | Counselor | 37 Hanover Rd, Marlton, NJ 08053-1905 | 2020-10-12 |
| 1952908261 | Kathryn Vetrano | Counselor | 12 Lakeview St, River Edge, NJ 07661-1720 | 2020-10-08 |
| 1477150324 | Aloha Counseling and Support Services, LLC | Counselor | 5 Madison Ln, Sicklerville, NJ 08081-4410 | 2020-10-05 |
| 1801403175 | Visions and Pathways | Counselor | 49 Brahma Avenue, Bridgewater, NJ 08807 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HIAWATHA |
| Zip Code | 07034 |
Please comment or provide details below to improve the information on KRISTA LYN DETTLE.
| 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.