Mary Katherine Diethrich, R. N. C.D.E.

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN19458 Issued in NV

Practice address

2070 Severn Dr
Reno, NV 89503-2246

Phone

(775) 843-6529

NPI assigned

Jul 13, 2012

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

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1629323852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 SEVERN DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032246",
            "telephone_number": "775-843-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 SEVERN DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032246",
            "telephone_number": "775-843-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETHRICH",
        "first_name": "MARY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "R. N. C.D.E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NV",
            "license": "RN19458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L. Diedrichsen, M.D.
• Aaron Dieringer, MD
• Geoffrey Mahlon Dieringer, LMSW, CSW-I
• Paul E Dieringer, M.D.
• Deborah Anne Dieter
• Christopher Dietrich, LMFT
• Digestive Health Associates
• Digestive Health Associates, LLC
• Julie Diggle
• Dignity Health

• Diabetes Educator Registered Nurse in Reno, NV
• Providers in Reno, NV by specialty
• Diabetes Educator Registered Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.