Mary Frances Skapek Dieckhaus

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

406 Babbidge Rd Unit 1020
Storrs, CT 06269-1020

Phone

(708) 752-2716

NPI assigned

Apr 19, 2021

Last updated

Apr 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1316528532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 BROOK ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014368",
            "telephone_number": "708-752-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BABBIDGE RD UNIT 1020",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062691020",
            "telephone_number": "708-752-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIECKHAUS",
        "first_name": "MARY",
        "middle_name": "FRANCES SKAPEK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Marie Davis, AU.D.
• Michelle Dawiczyk, PA-C
• Mary Day, APRN
• Judith H Dessel, APRN
• Morgan Devane
• Michael Distefano, MA, ATC, CSCS, PES
• Tatyana Divino, DO
• James William Doran Jr., ATC
• Dov Kugelmass
• Susan Judith Dugan, CNS

• Student in an Organized Health Care Education/Training Program in Storrs, CT
• Providers in Storrs, CT by specialty
• Student in an Organized Health Care Education/Training Program in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.