TIFFANY DIETZ (NPI# 1780187633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780187633 |
| Entity Type | Individual |
| Full Name | TIFFANY DIETZ |
| Credential | PA |
| Practice Address |
2800 S Shirlington Rd Ste 102 Arlington VA 22206-3603 |
| Mailing Address |
11350 Mccormick Rd Building 1, Suite 501 Hunt Valley MD 21031 |
| Practice Telephone | 7037384336 |
| Mailing Telephone | 4103291071 |
| Mailing Fax Number | 4103291054 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006117 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6355 Walker Ln Ste 507, Alexandria, VA 223103251 | 7037384332 | 7036421876 |
| Street Address |
2800 S SHIRLINGTON RD STE 102 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22206-3603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285668491 | Suneetha Budampati | Physical Medicine & Rehabilitation | 2800 S Shirlington Rd Ste 102, Arlington, VA 22206-3603 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354052 | Kayla Criswell | Behavior Technician | 4510 31st Street, Apt 204, Arlington, VA 22206 | 2019-12-22 |
| 1336650852 | Roman De Los Santos | Dentist | Blvd Cucacpah #212, Jijuana, BAJA CALIFORNIA 22206 | 2017-10-24 |
| 1104337179 | Chandra Jeanne Burnside | Registered Nurse | 4654a 36th Street South, Arlington, VA 22206 | 2017-10-18 |
| 1861912784 | Bonnie Schultz | Social Worker | 4537a 28th Rd S., Arlington, VA 22206 | 2017-06-21 |
| 1477093201 | Roxana Estrada | Dentist | 23678-b Luisa Martinez, Mariano Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2017-02-27 |
| 1073063095 | Alfredo Soto Navarrete | General Acute Care Hospital | Hermenegildo Galeana 22412, Ejido Francisco Villa, Tijuana, BAJA CALIFORNIA 22206 | 2016-10-13 |
| 1245681238 | Wendolyne Nashelly Corona Leal | Dentist | Ave Isla Tiburon 3662, Lamas Del Matamoros, Tijuana, BAJA CALIFORNIA 22206 | 2016-06-30 |
| 1659784304 | Christine Brown Wright | Audiologist | 4714 30th Street South, Arlington, VA 22206 | 2014-06-10 |
| 1538583653 | Fernellas Quality Care | Nutritionist | 2300 24th Road South #624, Arlington, VA 22206 | 2014-02-10 |
| 1851637532 | Umera Abdullah Thebo | Internal Medicine | 2270 S Garfield Street, Unit #4, Arlington, VA 22206 | 2012-12-27 |
| Find all providers in zip 22206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1487263059 | Zoe Alanna Riecker | Physician Assistant | 1045 N Utah St Apt 601, Arlington, VA 22201-5754 | 2020-07-29 |
| 1194375360 | Casey Ann Cohen | Physician Assistant | 69 Princeton Rd, Arlington, MA 02474-8252 | 2019-09-18 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| 1598226920 | Huong Truong-hoai Pham | Physician Assistant | 4860 Matlock Rd Ste 140, Arlington, TX 76018-5657 | 2019-03-28 |
| 1841756434 | Ailey Pham | Physician Assistant | 800 W Arbrook Blvd Ste 100, Arlington, TX 76015-4316 | 2019-02-19 |
| 1972081164 | Anastasia Elizabeth Grebeck | Physician Assistant | 200 N Glebe Rd Ste 316, Arlington, VA 22203-3755 | 2018-07-31 |
| 1740789106 | Brentton Tyler Lowery | Physician Assistant | 200 E Division St, Arlington, TX 76011-7507 | 2018-02-12 |
| 1669907762 | Brittany Christopher | Physician Assistant | 1625 N George Mason Dr Ste 315, Arlington, VA 22205-3690 | 2017-04-26 |
| 1477096345 | Jennifer Hinders | Physician Assistant | 11779 Village Center St, Arlington, TN 38002-5893 | 2016-11-28 |
| Find all providers in ARLINGTON | ||||
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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.