KATRINA DIEDERICHS (NPI# 1821023607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821023607 |
| Entity Type | Individual |
| Full Name | KATRINA DIEDERICHS |
| Credential | ARNP |
| Practice Address |
10 Members Way Fl 5 Dover NH 03820-5933 |
| Mailing Address |
789 Central Ave Dover NH 03820-2526 |
| Practice Telephone | 6036096800 |
| Mailing Telephone | 6036096800 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
031091-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3087097 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 Members Way, Suite 301, Dover, NH 038205933 | 6037423666 | 6037426119 |
| Street Address |
10 MEMBERS WAY FL 5 |
| City | DOVER |
| State | NH |
| Zip Code | 03820-5933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490276 | Pamela Schultze | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2005-10-11 |
| 1336751825 | Wentworth Douglass Physician Corporation | Pharmacist | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2020-08-18 |
| 1164943635 | Yulius Leonard Haryadi | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-07-05 |
| 1174061170 | Jade A O'donovan | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2017-02-09 |
| 1295109684 | Sarah Eckenberger | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-11-23 |
| 1215310529 | Sujata Shrestha | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2015-07-06 |
| 1609146562 | Jennifer Brown Christiansen | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2012-01-10 |
| 1043517485 | Kathleen Conway | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2011-02-22 |
| 1750695607 | Donna K Pare | Nurse Practitioner | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2010-08-03 |
| 1093897753 | Alison M Sollee | Internal Medicine | 10 Members Way Fl 5, Dover, NH 03820-5933 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701242 | Kassie Nicole Zukowski | Speech-Language Pathologist | 40 Chestnut St., Unit 3, Dover, NH 03820 | 2020-08-18 |
| 1013537851 | St.pierre Counseling, Pllc | Community/Behavioral Health | 6 Old Rochester Road, Dover, NH 03820 | 2020-04-22 |
| 1790324002 | Mark Boren | Driver | 29 Cornerstone Dr., Dover, NH 03820 | 2020-01-03 |
| 1568963221 | Sarah Hesketh | Speech-Language Pathologist | 61 Locust Street #333, Dover, NH 03820 | 2018-02-27 |
| 1881106524 | Ashley Leighton | Specialist/Technologist | 197 Dover Point Rd, Dover, NH 03820 | 2017-11-03 |
| 1588048854 | Alliance Mental Health and Youth Consultation Services LLC | Counselor | 1 Washington St Ste 318, Dover, NH 03820 | 2015-07-16 |
| 1275920027 | Meredith Ashley Joyce | Counselor | 50 Chesnut St., Dover, NH 03820 | 2015-04-20 |
| 1891182655 | Jodi Alger | Registered Nurse | 113 Crosby Rd Suite 1, Dover, NH 03820 | 2015-04-20 |
| 1497148159 | Laura Anne Forsblad | Counselor | 750 Central Ave Ste Us, Dover, NH 03820 | 2015-03-05 |
| 1295142867 | Heather M Driscoll | Case Management | 50 Chestnut Street, Suite A, Dover, NH 03820 | 2014-07-16 |
| Find all providers in zip 03820 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436300 | Constance Crane | Nurse Practitioner | 1711 Windswept Ct, Dover, DE 19901-5854 | 2020-10-28 |
| 1649870627 | Anita L Tyndall | Nurse Practitioner | 200 Banning St Ste 250, Dover, DE 19904-3492 | 2020-10-28 |
| 1013523422 | Mood Clinic Pllc | Nurse Practitioner | 56 Durham Rd Unit 54, Dover, NH 03820-4478 | 2020-09-21 |
| 1023631504 | Emily Reneker | Nurse Practitioner | 314 E 13th St, Dover, OH 44622-1126 | 2020-05-19 |
| 1295362333 | Melanie L Sciarra | Nurse Practitioner | 125 Greentree Dr Ste 1, Dover, DE 19904-7656 | 2020-03-26 |
| 1023655842 | Reny Varghese | Nurse Practitioner | 1225 Walker Rd # 6541, Dover, DE 19904-6541 | 2019-12-01 |
| 1205488988 | Sarah A Walsh | Nurse Practitioner | 17 Old Rollinsford Rd Ste 5, Dover, NH 03820-2821 | 2019-07-12 |
| 1891266250 | Misty Renee May | Nurse Practitioner | 1114 S Dupont Hwy Ste 104, Dover, DE 19901-4401 | 2018-12-11 |
| 1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
| 1043761372 | Amber Dunlap-ott | Nurse Practitioner | 927 Chelsea Dr, Dover, OH 44622-1504 | 2016-10-21 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.