MARLENA DIETRICH (NPI# 1881065746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881065746 |
| Entity Type | Individual |
| Full Name | MARLENA DIETRICH |
| Credential | ARNP |
| Practice Address |
703 Virginia St Dunedin FL 34698-6615 |
| Practice Telephone | 7277344000 |
| Mailing Telephone | 7277344000 |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
9304586 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 016378300 | 05 |
| Street Address |
703 VIRGINIA ST |
| City | DUNEDIN |
| State | FL |
| Zip Code | 34698-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991540 | Larry R. Levine | Family Medicine | 703 Virginia St, V J Dilella, Do LLC, Dunedin, FL 34698-6615 | 2005-06-10 |
| 1164891644 | Katherine D Dellangelo | Clinical Nurse Specialist | 703 Virginia St, Dunedin, FL 34698-6615 | 2015-09-15 |
| 1407286479 | Cheryl Blank | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-11-12 |
| 1881026102 | Erika S Carelli | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-08-09 |
| 1972944015 | Lori Ann Borja | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2013-07-16 |
| 1861738817 | Rhonda Gary Jackson | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698 | 2012-12-19 |
| 1033454624 | Latosha Maria Negrete | Nurse Practitioner | 703 Virginia St, Dunedin, FL 34698-6615 | 2012-12-07 |
| 1861769671 | Dynamic Health Care Services,llc | Clinic/Center | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-22 |
| 1649547563 | Brooke Chiodo | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2011-11-21 |
| 1265757553 | Leah Yang Faucett | Physician Assistant | 703 Virginia St, Dunedin, FL 34698-6615 | 2010-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245711803 | Surgcenter Clearwater, LLC | Clinic/Center | 980 Milwaukee Avenue, Dunedin, FL 34698 | 2018-08-22 |
| 1700379112 | Richard A Richert | Counselor | Alternatives In Behavioral Health, 1301 Seminole Blvd, Ste 169, Largo, FL 34698 | 2018-06-11 |
| 1487168506 | Dunedin Chiropractic Inc | Chiropractor | 1059 Broadway Suite C, Dunedin, FL 34698 | 2017-11-28 |
| 1578072039 | Changesu | Clinic/Center | 998 Emerson Drive, Dunedin, FL 34698 | 2017-09-27 |
| 1144680042 | Diane Chonacki | Social Worker | 1835 Santa Barbara Dr, Dunedin, FL 34698 | 2016-03-04 |
| 1801201157 | Beverly Sorrells | Acupuncturist | 595 Main Street, Suite 201, Dunedin, FL 34698 | 2014-06-25 |
| 1215275623 | Izabela Kowal | Internal Medicine | 1460 Beltrees St Ste 1, Dunedin, FL 34698 | 2013-01-18 |
| 1588923346 | Kim T Rohr, Dc Pa | Chiropractor | 1000 Bass Blvd, Dunedin, FL 34698 | 2012-05-14 |
| 1235437500 | Caryn Daley Mcclintock | Registered Nurse | 1930 Dunloe Circle, Dunedin, FL 34698 | 2011-03-10 |
| 1295043073 | Chmiel Corp | Assisted Living Facility | 3240 Cr #1, Dunedin, FL 34698 | 2010-09-15 |
| Find all providers in zip 34698 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048201 | Sannita Etienne | Nurse Practitioner | 601 Main St, Dunedin, FL 34698-5848 | 2019-05-09 |
| 1689110108 | Susan Michele Barlow | Nurse Practitioner | 2194 Main St, Suite I, Dunedin, FL 34698-5696 | 2017-01-08 |
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| 1417562877 | Victoria Ann Jacobs | Nurse Practitioner | 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 | 2020-09-12 |
| 1760096135 | Conciergenp | Nurse Practitioner | 1221 S 23rd Ave, Hollywood, FL 33020-5912 | 2020-09-03 |
| 1649881434 | Dr Jose A Rivera LLC | Nurse Practitioner | 110 W Citrus St, Altamonte Springs, FL 32714-2502 | 2020-08-14 |
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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.