Individual provider Active NPI

Theresa Marie Dierkes, BSN, RN

  • Registered Nurse
  • Drexel Hill, PA
National Provider Identifier
1013857804
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN737873 Issued in PA
Practice address
369 Lombardy Rd
Drexel Hill, PA 19026-2235
Phone
(610) 787-2623
NPI assigned
Mar 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN737873 PA Primary

Addresses

Primary practice location

369 Lombardy Rd
Drexel Hill, PA 19026-2235

Mailing address

369 Lombardy Rd
Drexel Hill, PA 19026-2235
Phone (610) 787-2623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN737873PAMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1013857804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 LOMBARDY RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262235",
            "telephone_number": "610-787-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 LOMBARDY RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190262235",
            "telephone_number": "610-787-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKES",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN737873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.