DOMINICA WILHEMINA DIEFFENBACH RD
NPI 1013427517
Dietitian, Registered in Phoenix, AZ

Q: What is Dominica Dieffenbach's NPI number?

The NPI number for Dominica Dieffenbach is 1013427517. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Q: What is Dominica Dieffenbach's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since October 10, 2017

3141 N 3RD AVE, PHOENIX, AZ 85013(602) 914-1520(602) 266-0545 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dominica Wilhemina Dieffenbach Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINICA WILHEMINA DIEFFENBACH RD (NPI 1013427517) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (1004846) and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1013427517

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameDOMINICA WILHEMINA DIEFFENBACHCredential: RD

Location Address3141 N 3RD AVEPhoenix, AZ 85013-4360

Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5000 · Fax (602) 470-5064

Phone(602) 914-1520

Fax(602) 266-0545

Sole ProprietorNo

Enumeration DateOctober 10, 2017

✔ NPI 1013427517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 1004846

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

3141 N 3RD AVE, Phoenix, AZ 85013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominica Wilhemina Dieffenbach Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Dominica Dieffenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc

3.4 mi

Pulmonary Disease

2525 E ROOSEVELT ST, MED CLINIC - PULMONARY
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1700119815 (602) 344-1095

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA RANJINEE HALPE MD

Pediatrics