DIEDRE A DIBAL (NPI# 1720107337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720107337 |
| Entity Type | Individual |
| Full Name | DIEDRE A DIBAL |
| Other Name | DIEDRE A ALLEN |
| Credential | APRN CNM |
| Practice Address |
825 Euclid Avenue Kansas City MO 64124-2323 |
| Mailing Address |
825 Euclid Ave Kansas City MO 64124-2323 |
| Practice Telephone | 8164744970 |
| Practice Fax Number | 8164744914 |
| Mailing Telephone | 8164744920 |
| Mailing Fax Number | 8164744914 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 1339651031 | KS | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 073851 | MO | Nursing Service Providers |
| N | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
74337 | KS | Nursing Service Providers |
| Y | 176B00000X | Midwife | 073951 | MO | Other Service Providers |
| N | 176B00000X | Midwife | 64043 | KS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100253000E | 05 | |
| MO | 257897009 | 05 |
| Street Address |
825 EUCLID AVENUE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64124-2323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699718254 | Cindy G Ruttan | Psychiatry & Neurology | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-06-13 |
| 1497816896 | Jack Edmisten | Psychiatry & Neurology | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-12-12 |
| 1578570982 | Samuel U. Rodgers Health Center, Inc. | Clinic/Center | 825 Euclid Avenue, Kansas City, MO 64124 | 2006-08-01 |
| 1144235631 | Fausto H Mora | Psychologist | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-07-31 |
| 1952315251 | Marilyn J Maier | Advanced Practice Midwife | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-07-29 |
| 1831103225 | Shannon Leah Johnston | Social Worker | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-07-28 |
| 1316951379 | Sudha T Chaudhuri | Obstetrics & Gynecology | 825 Euclid Avenue, Kansas City, MO 64124-2323 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982191474 | Marcia Jean Mason | Speech-Language Pathologist | 345 N. Elmwood, Kansas City, MO 64124 | 2018-04-19 |
| 1215249933 | Scuola Vita Nuova Charter School | Local Education Agency (LEA) | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-10 |
| 1891937553 | Center for Developmentally Disabled | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 855 Brooklyn, Kansas City, MO 64124 | 2009-03-27 |
| 1700059276 | Veronica Rodriguez | Home Health Aide | 303 S Cypress, Kansas City, MO 64124 | 2008-04-07 |
| 1225216211 | Samuel U. Rodgers Health Center, Inc. | Licensed Practical Nurse | 2100 E 9th St, Kansas City, MO 64124 | 2008-02-01 |
| 1336103134 | Joel Maurice Feder | Family Medicine | 4601 Independence Ave, Kansas City, MO 64124 | 2006-04-17 |
| 1770024663 | Kansas City Care Clinic | Clinic/Center | 4601 Independence Ave, Kansas City, MO 64124 | 2017-03-13 |
| 1780997361 | Susan D. Putnam | Speech-Language Pathologist | 544 Wabash Avenue, Kansas City, MO 64124 | 2010-07-23 |
| 1912135450 | Catricia R Tilford | Pediatrics | 825 Euclid Ave, Kansas City, MO 64124 | 2009-06-23 |
| 1356577829 | Lauren Elizabeth Andreas | Dentist | 825 Euclid Ave, Mc 0242, Kansas City, MO 64124 | 2009-06-10 |
| Find all providers in zip 64124 | ||||
| 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 |
|---|---|---|---|---|
| 1952734840 | Shannon Rashelle Carter | Midwife | 4303 E 113th Ter, Kansas City, MO 64137-2450 | 2013-08-14 |
| 1801145065 | Nicole Greene | Midwife | 105 W 34th St, 2, Kansas City, MO 64111-1315 | 2012-09-04 |
| 1134149826 | Samantha Shea Petersen | Midwife | 930 Carondelet Dr Ste 300, Kansas City, MO 64114-4698 | 2006-07-19 |
| 1982168076 | Claudia Cornejo | Midwife | 2301 Holmes St, Kansas City, MO 64108-2640 | 2019-01-23 |
| 1053839225 | Sarah Jean Gill | Midwife | 2301 Holmes St, Kansas City, MO 64108-2640 | 2017-09-07 |
| 1609835255 | Debbra Bersano | Midwife | 7900 Lees Summit Rd, Kansas City, MO 64139-1236 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418221 | Andria Marie Webb | Midwife | 3228 Ivanhoe Ave, Saint Louis, MO 63139-2226 | 2020-08-18 |
| 1003436411 | Kelly L. Fournier | Midwife | 105 S Smalley St, Nixa, MO 65714-7829 | 2020-04-26 |
| 1558980102 | Kimberly Collins | Midwife | 300 Becca Dr, Rolla, MO 65401-8463 | 2020-04-14 |
| 1356976955 | Judith Fay Schmidt | Midwife | 26681 S 1725 Rd, Sheldon, MO 64784-7604 | 2020-03-04 |
| 1689227340 | Abigail Haguewood | Midwife | 14074 State Highway U, Mineral Point, MO 63660-9540 | 2019-07-22 |
| 1639722523 | Jean Mchenry | Midwife | 107 Prospect Place Dr, Lake St Louis, MO 63367-1829 | 2019-07-19 |
| 1629631338 | Rochelle Morgan | Midwife | 3231 S National Ave Ste 230, Springfield, MO 65807-7304 | 2019-04-18 |
| 1184189268 | Katherine Miller | Midwife | 7620 S Eagle Rd, Columbia, MO 65203-9036 | 2019-02-04 |
| 1578044400 | Jennifer M Jester | Midwife | 12201 Big Bend Rd, Kirkwood, MO 63122-6831 | 2018-08-28 |
| 1841790698 | Jessica Reighard | Midwife | 36 Saddle Ridge Rd, Clever, MO 65631-6836 | 2018-02-19 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64124 |
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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.