Krista Marie Dziedzic, RN

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

RN622649 Issued in PA

Practice address

35 N 3Rd St
Oxford, PA 19363-1423

Phone

(610) 998-1807

Fax

(610) 998-1808

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329782400000",
    "number": "1699048736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N 3RD ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631423",
            "telephone_number": "610-998-1807",
            "fax_number": "610-998-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N 3RD ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631423",
            "telephone_number": "610-998-1807",
            "fax_number": "610-998-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIEDZIC",
        "first_name": "KRISTA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "PA",
            "license": "RN622649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Marie Cruser, BSN, IBCLC
• Darlene Damore
• Sonal J Dave, D.M.D
• Richard Frank Davis, DMD
• Sarah Madison Dehaven
• Gregory Paul Eckman, D.D.S.
• David Andrew Ehrhart, LPC
• Erin Dudley Forbes Charter School
• Brennan Ertl
• Linda Gillespie Everett, MD

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Oxford, PA
• Providers in Oxford, PA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.