Individual provider Active NPI

Jeanna Lee Dietz, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1295376416
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995067-NP Issued in CO
Practice address
5340 S Quebec St Ste 225N
Greenwood Village, CO 80111-1934
Phone
(720) 734-4411
Fax
(720) 204-7497
NPI assigned
Sep 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995067-NP CO Primary

Addresses

Primary practice location

5340 S Quebec St Ste 225N
Greenwood Village, CO 80111-1934

Mailing address

5340 S Quebec St Ste 225N
Greenwood Village, CO 80111-1934
Phone (720) 734-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191102000139 CO Practitioner - Nurse Practitioner 4284966763 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0995067-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 21, 2019 Accepting new patients
Arapahoe Mental Health Center, Inc CurrentSince Oct 21, 2019 Accepting new patients
Lee & Me Psychiatry, PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

116 Inverness Dr E
Ste 105
Englewood, CO 80112

155 Inverness Dr W
Ste 200
Englewood, CO 80112
Phone (303) 779-9676

200 Plaza Dr
Ste 200
Highlands Ranch, CO 80129

5524 S Prince St
Littleton, CO 80120
Phone (303) 730-0797

10350 Dransfeldt Rd
Parker, CO 80134
Phone (303) 597-3860

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1295376416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST STE 225N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111934",
            "telephone_number": "720-734-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 S QUEBEC ST STE 225N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111934",
            "telephone_number": "720-734-4411",
            "fax_number": "720-204-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "JEANNA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995067-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.