Individual provider Active NPI

Katrina Diederichs, ARNP

  • Family Nurse Practitioner
  • Dover, NH
National Provider Identifier
1821023607
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
031091-23 Issued in NH
Practice address
10 Members Way FL 5
Dover, NH 03820-5933
Phone
(603) 609-6800
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 031091-23 NH Primary

Addresses

Primary practice location

10 Members Way FL 5
Dover, NH 03820-5933

Mailing address

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6800

Other practice location 1

10 Members Way
Suite 301
Dover, NH 03820-5933
Phone (603) 742-3666

Other practice location 2

10 Members Way
Suite 301
Dover, NH 03820-5933
Phone (603) 742-3666

Other identifiers 1

IdentifierTypeStateIssuer
3087097MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10 Members Way FL
Suite 5
Dover, NH 03820-5933

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wentworth Douglass Physician Corporation CurrentSince May 1, 2016 Accepting new patients
Wentworth Douglass Hospital Current Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince May 1, 2016 Accepting new patients
Westchester Neurological Consultant PC Past Accepting new patients

Locations

8 Century Pines Dr
Ste 2
Barrington, NH 03825
Phone (603) 664-2135

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030

10 Members Way
Ste 201
Dover, NH 03820
Phone (603) 205-2823

10 Members Way
Fl 5
Dover, NH 03820
Phone (603) 609-6800

10 Members Way
Ste 5
Dover, NH 03820

10 Members Way
Ste 301
Dover, NH 03820
Phone (603) 609-6685

10 Members Way
#301
Dover, NH 03820
Phone (603) 742-3666

10 Members Way
Ste 203
Dover, NH 03820
Phone (603) 742-3174

10 Members Way
Ste 200
Dover, NH 03820
Phone (603) 609-6930

67 Corporate Dr
Fl 3
Portsmouth, NH 03801
Phone (603) 610-8050

150 Marketplace Blvd
Unit 9
Rochester, NH 03867
Phone (603) 516-4212

85 Main St
Somersworth, NH 03878
Phone (603) 692-5552

Interoperability endpoints

  • Direct secure messaging: diederichs.katrina.wdh@direct.partners.masshiway.net
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821023607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038202526",
            "telephone_number": "603-609-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MEMBERS WAY FL 5",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038205933",
            "telephone_number": "603-609-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Members Way",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-3666",
            "fax_number": "603-742-6119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Members Way",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038205933",
            "country_code": "US",
            "telephone_number": "603-742-3666",
            "fax_number": "603-742-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEDERICHS",
        "first_name": "KATRINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "031091-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087097",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

Verify at the official NPI Registry.