Organization Active NPI

Dieterman Klinik, LLC

  • Primary Care Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1386414431
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DIETERMAN KLINIK, LLC
Practice address
6208 Fall Harvest Way
Fort Collins, CO 80528-7242
Phone
(816) 695-2433
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Lauren Abigail Dieterman, DNP, FNP-C, BSNNPI 1598378846
Title
DNP
Phone
(816) 695-2433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6208 Fall Harvest Way
Fort Collins, CO 80528-7242

Mailing address

4200 Somerset Dr Ste 208
Prairie Village, KS 66208-5244

National Provider Directory

National Provider Directory

Locations

4200 Somerset Dr
Ste 208
Prairie Village, KS 66208

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1386414431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 SOMERSET DR STE 208",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 FALL HARVEST WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805287242",
            "telephone_number": "816-695-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIETERMAN KLINIK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "DIETERMAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ABIGAIL",
        "authorized_official_title_or_position": "DNP",
        "authorized_official_telephone_number": "816-695-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, BSN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.