Kathleen Ann Dibble, FNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11013037 Issued in FL

Practice address

2553 E Silver Springs Blvd
Ocala, FL 34470-7009

Phone

(352) 732-6599

NPI assigned

Jun 15, 2017

Last updated

Aug 4, 2021By the provider in NPPES

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

Enrolled in NY, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heart of Florida Health Center, IncGroup PAC ID 1355410838, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdibble316079@bassett.direct-ci.net

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.

• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1710923727
  Medicare reassignment Care Compare group NPD
• Little Falls Hospital

  • Family Medicine Physician
  • Little Falls, NY
  • NPI 1467593202
  Medicare reassignment NPD
• Heart of Florida Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1982248134
  NPD
• Little Falls Hospital

  dba Little Falls Hospital St Johnsville Health Center

  • Rural Health Clinic/Center
  • St Johnsville, NY
  • NPI 1104473990
  NPD
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Ocala, FL
  • NPI 1144624750
  NPD (past)
• Heart of Florida Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Reddick, FL
  • NPI 1235533845
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1619407244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 E SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707009",
            "telephone_number": "352-732-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "FNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-15",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "341833",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11013037",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilmer Diaz, MD
• Ella Diaz, PT
• Evelyn Diaz, APRN-FNP-C
• Joel Christian Diaz, MD
• Kelsey Marie Diaz
• Whitney Vonshea Dickens, BACHELORS
• Alicia Rose Dickeson, FNP-BC
• Laisha Dieguez Diaz
• Glenda Dieguez Raola
• Eladio J Dieguez, MD

• Psychiatric/Mental Health Nurse Practitioner in Ocala, FL
• Providers in Ocala, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.