DIANE MARIE SELLECK (NPI# 1750503900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750503900 |
| Entity Type | Individual |
| Full Name | DIANE MARIE SELLECK |
| Other Name | DIANE SELLECK HAYWOOD |
| Credential | RD |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Mailing Address |
122 Sunflower Dr Lake Havasu City AZ 86403-6658 |
| Practice Telephone | 9286693283 |
| Mailing Telephone | 9288555289 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
932530 | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DIETITIAN CERTIFICATION | 37001488A | 01 |
| CDR REGISTRATION ID NUMBE | 932530 | 01 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518318922 | Newmark Nutrition, LLC | Dietitian, Registered | 202 E Earll Dr Ste 425, Phoenix, AZ 85012-2649 | 2016-06-27 |
| 1750545976 | Team 83 Partners LLC | Dietitian, Registered | 6320 W Union Hills Dr., Suite 1500 B, Glendale, AZ 85308 | 2008-07-16 |
| 1366059834 | Mckenzie Millner | Dietitian, Registered | 4530 E Muirwood Dr Ste 111, Phoenix, AZ 85048-7693 | 2020-09-28 |
| 1699308460 | Golden Health Initiative Inc | Dietitian, Registered | 101 W 5th St, Tempe, AZ 85281-0400 | 2020-02-19 |
| 1225594294 | Alyssa Jeffers | Dietitian, Registered | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2019-02-14 |
| 1184167074 | Empower Health By Nutrition Pllc | Dietitian, Registered | 1210 W Davis Way, Flagstaff, AZ 86001-1201 | 2016-11-23 |
| 1609176882 | Carole Grant | Dietitian, Registered | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2010-10-22 |
| 1508036377 | Arizona Endocrinology Center, Plc | Dietitian, Registered | 15640 N 28th Dr, Phoenix, AZ 85053-4059 | 2008-03-07 |
| 1235246273 | Frances E Catinella | Dietitian, Registered | 140 W Speedway Blvd, Suite 100, Tucson, AZ 85705-7698 | 2006-08-24 |
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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.