Cheryl Lynn Ditzel, CRNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014423 Issued in PA

Practice address

630 Fairview Rd
Suite 210
Swarthmore, PA 19081-2334

Phone

(610) 541-0155

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By 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

Enrolled in NJ

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

Interoperability endpoints

• Direct secure messaging: cheryl.ditzel.1@19773.direct.athenahealth.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.

• Anthony Michael Albert-Puleo, M.D.

  • Family Medicine Physician
  • Medford, NJ
  • NPI 1265478101
  Medicare reassignment
• Swarthmore Pediatrics and Family Medicine

  • Pediatrics Physician
  • Swarthmore, PA
  • NPI 1285086884
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1740686633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD",
            "address_2": "SUITE 210",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812334",
            "telephone_number": "610-541-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FAIRVIEW RD",
            "address_2": "SUITE 210",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812334",
            "telephone_number": "610-541-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITZEL",
        "first_name": "CHERYL",
        "middle_name": "LYNN",
        "credential": "CRNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Clair Dercole
• Donna D. Diakite, PRACTITIONER
• Jacqlyn Elizabeth Diamond, MS, LPC
• Veronica Diciccio
• Taylor Dickson
• Alexandria Dobrikovic, MSW
• Christine Dumont
• Avery Dunn
• Kimberly Ersin, P.T.
• Craig S Fava, PT

• Family Nurse Practitioner in Swarthmore, PA
• Providers in Swarthmore, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.