Individual provider Active NPI

Caitlin C Dietrich, DPM

  • Podiatrist
  • Tavares, FL
National Provider Identifier
1548643109
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4016 Issued in FL
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

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180906000986 FL Practitioner - Podiatry 2264782697 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Tri County Podiatry PAGroup PAC ID 6800810227, 8 clinicians

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 Home health agency, The Villages, FL, CCN 108235
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
95.49 of 100Reported as group
Quality
86.96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue141
Removal of skin lesions1-10
Removal of nail tissue1449
Removal or shaving of skin growth291
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006658PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Podiatry PA Single Specialty CurrentSince Sep 1, 2018 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Tri County Podiatry P a Single Specialty CurrentSince Sep 1, 2018 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

  • Direct secure messaging: cdietrich562508@direct.shands.ufl.edu
  • FHIR API: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.