Jayne L Dieterich

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

83264 Issued in CO

Practice address

1375 E 20TH Ave
Denver, CO 80205-5423

Phone

(303) 743-5855

NPI assigned

Feb 27, 2007

Last updated

Mar 3, 2008By 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

Other identifiers 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1811024870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 W 55TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802216595",
            "telephone_number": "303-561-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E 20TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055423",
            "telephone_number": "303-743-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETERICH",
        "first_name": "JAYNE",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "83264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER-COMMERCIAL NUMBER",
            "identifier": "011367",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Diele Wood, LPC, LAC
• Sarah L Diemert, WHNP
• Dien T Le OD PC
• Katie Mae Dierker
• Levi Dieruf, MD
• Maureen Anne Dieterich, LPC
• Catherine Bernice Dietlein, DPM
• Gregory W Dietmeier, DDS MS PC
• Julie D Dietrich, DO
• Shelby Dietrich

• Registered Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.