DR. TIFFANY LEE DIETRICH (NPI# 1700945508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700945508 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY LEE DIETRICH |
| Credential | LM |
| Practice Address |
4251 S Higuera St Suite 300 San Luis Obispo CA 93401-7700 |
| Practice Telephone | 8055480606 |
| Practice Fax Number | 8058561521 |
| Mailing Telephone | 8055480606 |
| Mailing Fax Number | 8058561521 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | LM 252 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | LM 252 | 01 |
| Street Address |
4251 S HIGUERA ST SUITE 300 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912992710 | Gene Hori | Urology | 4251 S Higuera St, Suite 402, San Luis Obispo, CA 93401-7700 | 2005-09-19 |
| 1578955266 | Slo Acupuncture & Integrative Medicine | Acupuncturist | 4251 S Higuera St, Suite 300, San Luis Obispo, CA 93401-7700 | 2015-03-04 |
| 1154683183 | Genevieve Sullivan | Behavioral Analyst | 4251 S Higuera St, Suite 800, San Luis Obispo, CA 93401-7700 | 2012-06-14 |
| 1518229541 | William Headrick | Behavioral Analyst | 4251 S Higuera St, Suite 800, San Luis Obispo, CA 93401-7700 | 2012-06-14 |
| 1841552304 | Autism Connections, Inc | Behavioral Analyst | 4251 S Higuera St, Suite 800, San Luis Obispo, CA 93401-7700 | 2012-06-11 |
| 1205196052 | Atsuko E. Rees, Md | General Practice | 4251 S Higuera St, Suite 401, San Luis Obispo, CA 93401-7700 | 2012-05-25 |
| 1629363874 | Susan Gene Lundgren | Naturopath | 4251 S Higuera St, Ste 300, San Luis Obispo, CA 93401-7700 | 2011-06-16 |
| 1881990620 | Therese Marie Powers | Acupuncturist | 4251 S Higuera St, Suite 300, San Luis Obispo, CA 93401-7700 | 2011-01-26 |
| 1063713477 | Santa Lucia Birth Center, Inc. | Clinic/Center | 4251 S Higuera St, Suite 300, San Luis Obispo, CA 93401-7700 | 2010-11-16 |
| 1508096207 | Rees Family Medical Corporation | Family Medicine | 4251 S Higuera St, Suite 401, San Luis Obispo, CA 93401-7700 | 2009-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356749832 | Justine E Waldram | Midwife | 4251 S Higuera St Ste 300, San Luis Obispo, CA 93401-7741 | 2014-12-15 |
| 1164663902 | Michelle Longa Karpin | Midwife | 705 Grand Ave, San Luis Obispo, CA 93401-2639 | 2009-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445481 | Ananda Szerman | Midwife | 3350 Michelle Ct, Simi Valley, CA 93063-1019 | 2020-10-20 |
| 1922605914 | Jordan Joy Mccart | Midwife | 1148 Spazier Ave Apt B, Glendale, CA 91201-3771 | 2020-10-03 |
| 1629675772 | Amanda Latham | Midwife | 33690 Almond St, Wildomar, CA 92595-8752 | 2020-10-01 |
| 1093322406 | Catalina Francesca Betty Clark | Midwife | 3203 Johnston Ave, Redondo Beach, CA 90278-1520 | 2020-09-29 |
| 1831706795 | Kelly Jensen | Midwife | 1745 Harold Rd, Escondido, CA 92026-1822 | 2020-09-24 |
| 1548875255 | Charlee Haller | Midwife | 5632 Silverado Trl, Napa, CA 94558-9412 | 2020-09-09 |
| 1699387217 | Brittany Eldridge | Midwife | 71 Bemis St, San Francisco, CA 94131-3019 | 2020-08-17 |
| 1396363610 | Francine Marie Madrid-bizari | Midwife | 5854 Fremont St, Oakland, CA 94608 | 2020-07-13 |
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1225653900 | Kimberly Riego Catbagan Bongcaron | Midwife | 12 Aster Ln, Compton, CA 90221-3823 | 2020-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on DR. TIFFANY LEE 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.