Kristina Nelson Dilworth, RN, MS, FNP, ADM

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

336369 Issued in CA

Practice address

35 Casa St
Suite 130
San Luis Obispo, CA 93405-1818

Phone

(805) 541-1422

Fax

(805) 595-1815

NPI assigned

Jul 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

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 and National Provider Directory roles.

• Diabetes Wellness Center, a Nursing Corporation

  • Metabolic Nutrition Registered Dietitian
  • Pismo Beach, CA
  • NPI 1487653036
  NPD (past) Authorized official
• First Choice Physician Partners

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1912264862
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1407855018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CASA ST",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051818",
            "telephone_number": "805-541-1422",
            "fax_number": "805-595-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CASA ST",
            "address_2": "SUITE 130",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051818",
            "telephone_number": "805-541-1422",
            "fax_number": "805-595-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILWORTH",
        "first_name": "KRISTINA",
        "middle_name": "NELSON",
        "credential": "RN, MS, FNP, ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "336369",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "0350311-22",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "2051-0093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina N Diederich, PHARM. D.
• Heather Marie Diederich
• Lawrence Dieter, D.C.
• Dignity Community Care
• Denise Dillon
• Michelle Lynn Dimmett
• Lisa Liane Dimodica, PA
• Minhsang Jacqueline Dinh, DPT
• Robert B Dirksen, O.D.
• Tamra Ann Dison de Rivas

• Nurse Practitioner in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.