Active NPI
Rose Anna Dietrich, NP
- Family Nurse Practitioner
- Dublin, OH
National Provider Identifier
1821627720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0028234
- Practice address
- 545 Metro PL S # 1001
Dublin, OH 43017-5316 - Phone
- (877) 724-4748
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95014635 | CA | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0028234 | OH | Primary |
Addresses
Primary practice location
545 Metro PL S # 1001
Dublin, OH 43017-5316
Mailing address
545 Metro PL S # 1001
Dublin, OH 43017-5316
Phone (877) 724-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
545 Metro PL S
Suite 100
Dublin, OH 43017-5353
Phone (708) 269-1017
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95014635 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venvisor Health Ohio LLC | Single Specialty | Current | Accepting new patients |
Locations
545 Metro Pl S
Ste 100
Dublin, OH 43017
Phone (614) 398-0558
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1821627720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 METRO PL S # 1001",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175316",
"telephone_number": "877-724-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 METRO PL S # 1001",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175316",
"telephone_number": "877-724-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIETRICH",
"first_name": "ROSE",
"middle_name": "ANNA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95014635",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0028234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.