Michelle Diedrichsen

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MICHELLE DIEDRICHSEN

Practice address

295 E Park St
Fallon, NV 89406-3417

Phone

(775) 426-9319

NPI assigned

Mar 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Lauren Diedrichsen

Title

BST

Phone

(775) 426-9319

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1063805760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 E PARK ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063417",
            "telephone_number": "775-426-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 E PARK ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063417",
            "telephone_number": "775-426-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DIEDRICHSEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DIEDRICHSEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "BST",
        "authorized_official_telephone_number": "775-426-9319"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530557121",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Melendy
• Michelle Melendy, MS, MFT, LADC
• Audrea Mendiola
• Lacy Mae Menzies, MS MFT LADC, LADC-S
• Michael Lagrone
• Ian Haskell Mikolaj, MD
• Maria M Miller, DA
• Michelle Marie Miller, O.D.
• Shannon Miller
• Dorothy Mitchell

• Community/Behavioral Health Agency in Fallon, NV
• Providers in Fallon, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.