MRS. RETA JOYCE DIEDRICH (NPI# 1699951590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699951590 |
| Entity Type | Individual |
| Full Name | MRS. RETA JOYCE DIEDRICH |
| Credential | RN |
| Practice Address |
119 4th St. Sandstone MN 55072 |
| Mailing Address |
606 Power Ave S P.o. Box 684 Hinckley MN 55037-9366 |
| Practice Telephone | 3202455362 |
| Mailing Telephone | 3203846039 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
R059996-4 | MN | Nursing Service Providers |
| Street Address |
119 4TH ST. |
| City | SANDSTONE |
| State | MN |
| Zip Code | 55072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972034189 | Kc Companies of Sandstone Inc/sandstone Golden Horizons | Assisted Living Facility | 1109 Lundorff, Sandstone, MN 55072 | 2017-03-21 |
| 1124414032 | Sherri Lynn Anderson | Licensed Practical Nurse | 29916 Anderson Dr., Sandstone, MN 55072 | 2015-04-08 |
| 1346676541 | Sheila Ann Carr | Custodial Care Facility | 27295 Groningen Road, Sandstone, MN 55072 | 2013-09-19 |
| 1043497662 | Lori J Dougherty | Technician | 119 Fouth St., Sandstone, MN 55072 | 2008-01-25 |
| 1215114830 | Cindy Kuhlman | Technician | 119 Fourth St., Sandstone, FM 55072 | 2008-01-25 |
| 1134303381 | Deedree Ann Ludwig | Community Health Worker | 119 4th. St., Sandstone, MN 55072 | 2007-12-24 |
| 1043494297 | Minnie Mae Delaney | Community Health Worker | 119 4th Street, Sandstone, MN 55072 | 2007-12-24 |
| 1710068838 | Chris A Ketchmark | Chiropractor | 301 N Commercial Ave, Sandstone, MN 55072 | 2006-10-17 |
| 1326041633 | Pine Medical Center | General Acute Care Hospital | 705 Lundorff Drive South, Sandstone, MN 55072 | 2005-05-31 |
| 1982830493 | Mille Lacs Band of Ojibwe Indians | Community/Behavioral Health | 45741 Grace Lake Rd, Sandstone, MN 55072 | 2009-06-10 |
| Find all providers in zip 55072 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255535399 | Patrica Elaine Curwick | Registered Nurse | 45741 Grace Lake Rd, Sandstone, MN 55072-3203 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312118 | Live Life Well Sevices LLC | Registered Nurse | 1469 Gardena Ave Ne, Fridley, MN 55432-5815 | 2020-10-01 |
| 1225641509 | Celia Marie Petrowiak | Registered Nurse | 308 Jeri St, Fairmont, MN 56031-3249 | 2020-08-26 |
| 1134762404 | Crystal Marie Macfarlane | Registered Nurse | 2232 Jefferson St, Duluth, MN 55812-2114 | 2019-10-19 |
| 1689237638 | Jill Wackler | Registered Nurse | 2404 Greenbriar Ln, Buffalo, MN 55313-2368 | 2019-04-16 |
| 1871082354 | Shelly Lynn Manthey | Registered Nurse | 2701 W Superior St Ste 101, Duluth, MN 55806-1857 | 2018-05-09 |
| 1184153579 | Emily Marie Domeier | Registered Nurse | 1961 Premier Dr., Suite 340, Mankato, MN 56001 | 2017-06-08 |
| 1366993339 | Kristen Mellen | Registered Nurse | 104 Buckingham Ct, Mankato, MN 56001-5576 | 2016-10-14 |
| 1821440165 | Lisa Moon | Registered Nurse | 13723 Findlay Ave, Apple Valley, MN 55124-8070 | 2016-07-11 |
| 1669857587 | Kacey Ann Kasel | Registered Nurse | 820 Winnebago Ave, Suite 3, Fairmont, MN 56031-3645 | 2015-07-21 |
| 1205218989 | Kristen Louise Siewert | Registered Nurse | 3249 Noble Ave N, Golden Valley, MN 55422-3016 | 2015-06-18 |
| Find all providers with the same taxonomy | ||||
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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.