Active NPI
Caitlin C Dietrich, DPM
- Podiatrist
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4016
- Practice address
- 1879 Nightingale LN Ste B1
Tavares, FL 32778-4363 - Phone
- (352) 744-3220
- Fax
- (407) 671-4155
- NPI assigned
- Jul 1, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4016 | FL | |
| Podiatrist | 213E00000X | PO4016 | FL | Primary |
Addresses
Primary practice location
1879 Nightingale LN Ste B1
Tavares, FL 32778-4363
Mailing address
15815 Shaddock Dr Ste 130
Winter Garden, FL 34787-5773
Phone (407) 605-2321
Other practice location 1
913 E North Blvd Ste B
Leesburg, FL 34748-5364
Phone (352) 818-4170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services IncCora Health Services Inc
Practice addresses (Care Compare)
1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971
2953 Traverse TRL
The Villages, FL 32163-2017
Phone (352) 693-3378
340 Heald Way
Suite 100
The Villages, FL 32163-6000
Phone (352) 259-1919
Hospital & facility affiliations
- Better @ Home
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.49 of 100
- Quality
- 86.96
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 141 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1449 |
| Removal or shaving of skin growth | 291 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006658 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri County Podiatry PA | Single Specialty | Current | Accepting new patients |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Single Specialty | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Single Specialty | Current | Accepting new patients |
| Tri County Podiatry P a | Single Specialty | Current | Accepting new patients |
| Lori Akers Ms Arnp C PA | Single Specialty | Past | Accepting new patients |
Locations
661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759
7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211
1585 Santa Barbara Blvd
#B
The Villages, FL 32159
Phone (352) 259-1919
340 Heald Way
Ste 100
The Villages, FL 32163
Phone (352) 259-1919
Interoperability endpoints
- cdietrich562508@direct.shands.ufl.edu
- https://fhir4.healow.com/fhir/r4/FFFCAA
Organizations & group practices 5
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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
Single Specialty
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
Single Specialty
-
- Durable Medical Equipment & Medical Supplies
- The Villages, FL
- NPI 1396287884
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brooksville, FL
- NPI 1093884223
-
- Home Health Agency
- The Villages, FL
- NPI 1578728242
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1548643109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15815 SHADDOCK DR STE 130",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347875773",
"telephone_number": "407-605-2321",
"fax_number": "407-671-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 NIGHTINGALE LN STE B1",
"city": "TAVARES",
"state": "FL",
"postal_code": "327784363",
"telephone_number": "352-744-3220",
"fax_number": "407-671-4155"
}
],
"practiceLocations": [
{
"address_1": "913 E North Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347485364",
"country_code": "US",
"telephone_number": "352-818-4170",
"fax_number": "407-671-4155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIETRICH",
"first_name": "CAITLIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4016",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO4016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.