Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295288215 Individual Practitioner Female Practitioner

Jillian Diffenbaugh , LMBT, MBA

Specialist • Fayetteville, NC

Professional Overview & Biography Verified Profile Summary

Jillian Diffenbaugh, LMBT, MBA is a registered healthcare professional specializing in Specialist in Fayetteville, NC. Practice services are available at 1019 HAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1019 Hay St

Fayetteville, NC 283055315

Telephone 7174065020

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fayetteville, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
26 Specialists

Practicing in Fayetteville, NC (945 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC LMBT 15047

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2017

Registered at 1019 HAY ST, FAYETTEVILLE, NC 283055315 (Tel: 7174065020)

📍
Updated Business Mailing Address January 10, 2017

Registered at 5308 CHESAPEAKE RD, FAYETTEVILLE, NC 283111537 (Tel: 7174065020)

👤
Provider Name / Credentials Updated January 10, 2017

Recorded as JILLIAN DIFFENBAUGH, LMBT, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2017

Specialist (License #LMBT 15047 in NC)

NPI Profile Active July 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2016

Registered at 6415 BROOKSTONE LN, SUITE 102, FAYETTEVILLE, NC 283140074 (Tel: 7174065020)

📍
Updated Business Mailing Address July 26, 2016

Registered at 5308 CHESAPEAKE RD, FAYETTEVILLE, NC 283111537 (Tel: 7174065020)

👤
Provider Name / Credentials Updated July 26, 2016

Recorded as JILLIAN DIFFENBAUGH, LMBT, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2016

Specialist (License #LMBT 15047 in NC)

🟢
Initial NPI Registration & Enumeration July 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295288215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2016
Last Update: January 10, 2017
Sole Proprietor: Yes

Mailing Address

5308 Chesapeake Rd

Fayetteville, NC 283111537

Phone: 7174065020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.