Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Melissa Dietzgen, MD

Individual provider Internal Medicine Physician · NPI 1487920575

Stacy Melissa Dietzgen, MD is an Internal Medicine Physician in Seattle, Washington. Licensed in Washington. Registered with an NPI since 2012.

Licensed in
WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1959 NE Pacific St
Seattle, WA 98195-0001
Phone: (206) 598-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence MD60492901 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD60492901 (WA)

Record details

NPI number1487920575
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2012
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

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