Jessica Lynne Ditzler, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10860 Issued in WI

Practice address

2500 Overlook Ter
Madison, WI 53705-2254

Phone

(608) 280-7299

Fax

(608) 280-7140

NPI assigned

May 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1053987321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 EMMANUEL CT",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535369761",
            "telephone_number": "815-541-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 OVERLOOK TER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052254",
            "telephone_number": "608-280-7299",
            "fax_number": "608-280-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITZLER",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Ditroia, DPT
• Olivia M Dittmann, NP
• Sarah Dittmann, APNP
• Kim Lynnette Dittus, MD, PHD
• Georgia R. Ditzenberger, NNP-BC, PHD
• Divine Haven LLC
• Cory S Divine, CSAC, LPC
• Elizabeth A Divyak, PA-C
• Katharine M Divyak, CRNA
• Russell M Dixon, MD

• Family Nurse Practitioner in Madison, WI
• Providers in Madison, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.