JACKSON R. DIEDE MAT, ATC – NPI #1760054373
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

JACKSON DIEDE is a physician located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1760054373 to JACKSON DIEDE on July 13, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2081S0010X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Sports Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON DIEDE below.

NPI Profile for
JACKSON R. DIEDE

NPI Number
1760054373
Enumeration Date

(about 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACKSON R. DIEDE
Credentials
MAT, ATC
Primary location
810 E 23RD ST
SIOUX FALLS, SD 57105-2135
Phone: (605) 331-5890 Fax:
Mailing address
117 S HIGH ST
MENNO, SD 57045-2170
Phone: (605) 760-1566 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 13, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACKSON DIEDE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUECROSS BLUESHIELDSDWSLW01080864
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081S0010X
- Physical Medicine & Rehabilitation / Sports Medicine (Primary)
SD 0714

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
CSV
Affiliation
N
Endpoint Location
810 E 23RD ST,
SIOUX FALLS, SD 77025-1669