Brittany Dietz

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1130811 Issued in TX

Practice address

862 W Rusk St
Rockwall, TX 75087-3421

Phone

(972) 412-3034

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lake Ray Hubbard Pediatrics

  • Pediatrics Physician
  • Rowlett, TX
  • NPI 1427061308
  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1619659851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RANCH RD",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751898560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 W RUSK ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873421",
            "telephone_number": "972-412-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1130811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Dickey, PT, DPT
• Louis S Dickey, MD
• James Peyton Dickinson
• Devin Lajoi Dickson, MD
• Matthew Dickson, M.D., PH.D.
• Aura Mari Digeronimo-Negrete, LPC
• Madison Dillow, PT
• Direct Care Rehab PLLC
• Divine Glory Homecare Inc
• Dmedicus LLC (Dmedicus)

• Pediatric Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.