Tracy Leigh Diederich

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CNA423923 Issued in FL

Practice address

4228 Via Piedra Cir
Sarasota, FL 34233-1479

Phone

(941) 321-3218

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

Yes

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": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1245940303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 VIA PIEDRA CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331479",
            "telephone_number": "941-321-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 VIA PIEDRA CIR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331479",
            "telephone_number": "941-321-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDERICH",
        "first_name": "TRACY",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "CNA423923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Jeffrey Dickinson, D.D.S.
• Cristina Adriana Dickson, D.O.
• Dana E Dickson, RN, BA, CCM
• Jessica Lea Dickson, APRN
• Franciscus Dieckman, PT., MPT
• Breanna Diehl Holm, DC
• Esma Sim Diehl, MA, LMHC
• Christopher Diemer, RPH
• Howard David Diener, MD
• Britt Dienes, DOM

• Home Health Aide in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.