Katelyn Atkin Dietz, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95024227 Issued in CA

Practice address

415 E Chapel St
Santa Maria, CA 93454-4517

Phone

(888) 898-3806

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katelyn.dietz.p1@direct.ppcacentralcoast.nextgenshare.com

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.

• Bass Medical Group

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
  • NPI 1174253405
  Medicare reassignment NPD
• Planned Parenthood California Central Coast

  • Community Health Clinic/Center
  • Santa Maria, CA
  • NPI 1811914674
  Medicare reassignment NPD
• Bass Medical Group

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1467329904
  NPD
• Planned Parenthood California Central Coast

  • Community Health Clinic/Center
  • San Luis Obispo, CA
  • NPI 1700803285
  NPD
• Planned Parenthood California Central Coast

  dba Santa Maria Health Center

  • Community Health Clinic/Center
  • Santa Maria, CA
  • NPI 1962247668
  NPD
• Bass Medical Group

  • Specialist
  • Walnut Creek, CA
  • NPI 1154401941
  NPD (past)
• Planned Parenthood California Central Coast

  • Community Health Clinic/Center
  • Thousand Oaks, CA
  • NPI 1619994191
  NPD (past)

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1689375040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 ALAMEDA AVE APT E",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014055",
            "telephone_number": "805-813-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544517",
            "telephone_number": "888-898-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZ",
        "first_name": "KATELYN",
        "middle_name": "ATKIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024227",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024227",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla M Diaz
• Monica Diaz
• Robert Andrew Dichmann, MD
• Claire Mina Dicke
• Brett Diettinger
• Dignity Health (Marian Extended Care)
• Dignity Health (Dignity Health Home Health)
• Dignity Health
• Dignity Health (Marian Regional Medical Center CSU)
• Dignity Health

• Nurse Practitioner in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.