Helen Dittmer, MSN, DNS-CT, RN

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

041346844 Issued in IL

Practice address

4141 N Rockton Ave
Rockford, IL 61103-1593

Phone

(815) 316-1542

Fax

(815) 316-6060

NPI assigned

Jun 21, 2021

Last updated

Jun 21, 2021By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Admiral at the Lake

  • Skilled Nursing Facility
  • Chicago, IL
  • NPI 1982946604
  NPD
• The Old People's Home of the City of Chicago

  dba The Admiral at the Lake

  • Nursing Facility/Intermediate Care Facility
  • Chicago, IL
  • NPI 1508922683
  NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1720657190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031524",
            "telephone_number": "815-316-1542",
            "fax_number": "815-316-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 N ROCKTON AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611031593",
            "telephone_number": "815-316-1542",
            "fax_number": "815-316-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMER",
        "first_name": "HELEN",
        "credential": "MSN, DNS-CT, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IL",
            "license": "041346844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Rockford",
            "affiliation": "N",
            "address_1": "4141 N Rockton Ave",
            "city": "Rockford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "611031593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roxana Elena Dirla, DDS
• Disability Management Network
• Discovery House RF
• Carrie F Distrito, PT
• Emily Ditsch, DPT
• Carly Renee Ditto
• Cristina Diventi, LSW
• Katie E Dixon, DPT
• Tiniya Dixon
• DLX Medical Group Inc

• Gerontology Registered Nurse in Rockford, IL
• Providers in Rockford, IL by specialty
• Gerontology Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.