Individual provider Active NPI

Rose Anna Dietrich, NP

  • Family Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1821627720
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028234 Issued in OH
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

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701003753 OH Practitioner - Nurse Practitioner 6800226069 Reassigns benefits to 1 organization

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
Venvisor Health Ohio LLCGroup PAC ID 1456780824, 12 clinicians

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

LicenseStateTypeSpecialty
95014635CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Venvisor Health Ohio LLC Single Specialty CurrentSince Jun 18, 2021 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

Verify at the official NPI Registry.