DONALD DEE TIETSEMA NP NPI 1447652409

NPI Information

NPI: 1447652409
Provider Name: DONALD DEE TIETSEMA, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: SAN LUIS VALLEY COMMUNITY MENTAL HEALTH CENTER

PECOS Registration: Yes

Address:
8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101
Phone: (719) 589-3671
Get Directions

Donald Dee Tietsema, NP is a psychiatric/mental health nurse practitioner in Alamosa, CO with 10 years of experience. Donald Dee Tietsema, NP NPI is 1447652409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8745 COUNTY ROAD 9 S
ALAMOSA, CO
ZIP 81101-610
Phone: (719) 589-3671
Fax: (719) 587-6824

The NPI 1447652409 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/22/2014 and was last updated on 2/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		4704274155	MICHIGAN	No
2	163W00000X	Registered Nurse		1627153	COLORADO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	991309	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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