Sean Dittman, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Garden Ridge, TX
NPI 1043676307 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1043676307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP130293 (TX)
- Practice address
- 19115 FM 2252 Ste 18
Garden Ridge, TX 78266-2578 - Phone
- (210) 247-2248
- NPI assigned
- Jan 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
19115 FM
2252 Suite 18
Garden Ridge, TX 78266-2578
Phone (210) 247-2248
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170125002901 | TX | Practitioner - Nurse Practitioner | 9234422296 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP130293 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afcc-Affinity Family Care Clinic | Family | Current |
Accepting new patients |
| Hillside Primary Care PLLC | Past |
Accepting new patients |
Locations
232 Brite Rd
Ste 117
Cibolo, TX 78108
Phone (210) 247-2248
19115 FM 2252
Ste 18
Garden Ridge, TX 78266
Phone (210) 247-2248
Interoperability endpoints
- sean.dittman.1@33089.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
- sean.dittman@afcc-tx.direct.office.nextgen.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP130293 | TX | Yes |
Addresses
Primary practice location
19115 FM 2252 Ste 18
Garden Ridge, TX 78266-2578
Mailing address
19115 FM 2252 Ste 18
Garden Ridge, TX 78266-2578
Phone (210) 247-2248
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367644701 | Medicaid | TX |
Other providers in Garden Ridge, TX
- Cherokee Personnel Services
- Brittany Coleman
- Consulting by Michelle, PLLC
- Simone Michele Contreras
- Frank Coulson
- Verisha Virginia Dixon
- Kari Donahue
- Dougherty Dentistry, PLLC
- Lawrence Michael Dougherty
- Elizabeth Arredondo LLC
All providers in Garden Ridge, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.