Darlene Yvonne Dittrich, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP16084 Issued in MD

Practice address

791 Aquahart Rd
Suite 200
Glen Burnie, MD 21061-3961

Phone

(410) 222-6625

Fax

(410) 222-6679

NPI assigned

Apr 6, 2007

Last updated

Jan 7, 2014By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anne Arundel Co Dept of HLTH

  • Dental Clinic/Center
  • Glen Burnie, MD
  • NPI 1033272687
  NPD (past)
• Anne Arundel Co Dept of HLTH

  • State or Local Public Health Clinic/Center
  • Glen Burnie, MD
  • NPI 1760546519
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1356464457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 AQUAHART RD",
            "address_2": "SUITE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613961",
            "telephone_number": "410-222-6625",
            "fax_number": "410-222-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 AQUAHART RD",
            "address_2": "SUITE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613961",
            "telephone_number": "410-222-6625",
            "fax_number": "410-222-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTRICH",
        "first_name": "DARLENE",
        "middle_name": "YVONNE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP16084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dimensions Healthcare Associates Inc (University of Maryland Capital Region Health Medical Group)
• Mert Dinc, MD
• Caren Dinshah, PT
• Paule-Renee F Dion
• Chantelle Radmila Dishon, AU.D
• Jodi Lynn Dively, LCSW-C
• Shirley Patricia Dixon, RN
• Janice Nicole Doan, LCSW-C
• Doctor of Dentures LLC (Armani Dentures)
• Doctors First Professional Corporation (First Medical Associates)

• Licensed Practical Nurse in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Licensed Practical Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.