Marlena Dietrich, ARNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

9304586 Issued in FL

Practice address

703 Virginia St
Dunedin, FL 34698-6615

Phone

(727) 734-4000

NPI assigned

Oct 16, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Area Endocrinology Associates LLCGroup PAC ID 0547414328, 4 clinicians

Tampa Bay Endocrinology PAGroup PAC ID 5991949588, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tampa Bay Endocrinology PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
  • NPI 1306278874
  Medicare reassignment Care Compare group NPD
• V.J. Dilella, D.O., L.L.C.

  • Family Medicine Physician
  • Dunedin, FL
  • NPI 1265420541
  Medicare reassignment NPD
• Bay Area Endocrinology Associates LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Tampa, FL
  • NPI 1699019315
  Care Compare group

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1881065746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 VIRGINIA ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986615",
            "telephone_number": "727-734-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "MARLENA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9304586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016378300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Office of Dunedin, Inc
• Nimisha J Desai, PHARMACIST
• Suzanne Margaret Desrosiers, APRN
• Devine' Wellness & Spa LLC
• Nils M Diaz, M.D.
• Catherine Marie Digiammo, D.C.
• Digital Hearing Systems of Florida
• Vincent J Dilella, DO
• Derek Dillon, D.O.
• Dol Medical Services PLLC

• Primary Care Nurse Practitioner in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.

Verify at the official NPI Registry.