Active NPI
Lynne Ann Dittman
- Pharmacist
- Mayville, WI
National Provider Identifier
1083917462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9998
- Practice address
- 1028 Horicon St
Mayville, WI 53050-1429 - Phone
- (920) 387-7800
- Fax
- (920) 387-7809
- NPI assigned
- Dec 7, 2010
- Last updated
- Dec 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9998 | WI | Primary |
Addresses
Primary practice location
1028 Horicon St
Mayville, WI 53050-1429
Mailing address
186 Crooked Stick Pass
North Prairie, WI 53153-9624
Phone (920) 387-7800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9998 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291680000000",
"number": "1083917462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 CROOKED STICK PASS",
"city": "NORTH PRAIRIE",
"state": "WI",
"postal_code": "531539624",
"telephone_number": "920-387-7800",
"fax_number": "920-387-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 HORICON ST",
"city": "MAYVILLE",
"state": "WI",
"postal_code": "530501429",
"telephone_number": "920-387-7800",
"fax_number": "920-387-7809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DITTMAN",
"first_name": "LYNNE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "9998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayville, WI
- Beth Collister, MD
- Consultants Laboratory of Wisconsin, LLC
- Crossroads Care Center of Mayville, LLC (Avina of Mayville)
- Crossroads Care Center of Mayville, LLC (Avina Living of Mayville)
- Ellen Anne Demeyer, OTR
- Dr. Dan Stevens Family Dentistry, LLC
- Extendicare Health Facilities, Inc. (Mayville Health & Rehabilitation Center)
- Bridgette Francis
- Kaitlyn Francour, OTR/L
- Daniel Frenette
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.