Julie L Dieterman, RN, CNOR, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

041.263681 Issued in IL

Practice address

1604 Visa Dr Ste 1
Normal, IL 61761-2195

Phone

(309) 846-4716

NPI assigned

Sep 3, 2009

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1194958330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 VISA DR STE 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612195",
            "telephone_number": "309-846-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 VISA DR STE 1",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612195",
            "telephone_number": "309-846-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETERMAN",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041.263681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Deweert, MD
• Girishkumar Dhorajia, MD
• Marwan Dib, MD
• April L Dickenson, MD
• Jeffrey Lee Dickhut, D.C.
• Jay Martin Dietrich, APN, NP-C
• Gregory M Dietz, D.M.D.
• Renee Katherine Dietz, DMD
• Digestive Disease Consultants LTD
• Karissa Diller, LAT, ATC

• Registered Nurse First Assistant in Normal, IL
• Providers in Normal, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.