Erin Diedrick, OT

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

2988 Issued in WI

Practice address

316 E 14TH St
Kaukauna, WI 54130-3304

Phone

(920) 766-6020

NPI assigned

Aug 3, 2009

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

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1699906016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W994 COUNTY ROAD JJ",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541309639",
            "telephone_number": "920-759-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 14TH ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541303304",
            "telephone_number": "920-766-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDRICK",
        "first_name": "ERIN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WI",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Depies, OTR
• Amber Deprez
• Jamie Leigh Dewitt, APNP
• DG Brothers, Inc.
• Leah Diedrick-Williams, LCSW
• Samantha Joan Diver, RN
• Holly L Doughty, LPC
• Anthony James Dragosh, D.C.
• Marilyn Rae Dragosh, D.C.
• Trish L Dragosh, M.T.

• Nursing Facility/Intermediate Care Facility in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Nursing Facility/Intermediate Care Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.