Danielle Dietzek, FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

341510 Issued in NY

Practice address

308 E 15TH St # a
New York, NY 10003-4001

Phone

(212) 420-6460

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519948800000",
    "number": "1336641653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 78TH ST APT 9A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E 15TH ST # A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034001",
            "telephone_number": "212-420-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZEK",
        "first_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "341510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas T Dieterich, MD
• Allison Leigh Dietz, LMSW
• Barbara Dietz, LCSW
• Donald Elmore Dietz IV, MD
• Amy Dietze
• Danielle Nicole Dietzen, CPNP
• Samantha Kristi Dieu, PA-C
• Valine Rebecca Dieudonne Puntiel, PA-C
• Beatrice Esther Dieudonne, M.D
• Fatou Dieye, NP

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.