Individual provider Active NPI

Patricia Welch Dittman, PHD, MSN, RN, CDE

  • Diabetes Educator Registered Nurse
  • West Palm Beach, FL
National Provider Identifier
1891034070
Registry record updated Jul 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN 1242462 Issued in FL
Practice address
1650 Osceola Dr
West Palm Beach, FL 33409-5038
Phone
(561) 803-8880
Fax
(877) 409-1795
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN 1242462 FL Primary

Addresses

Primary practice location

1650 Osceola Dr
West Palm Beach, FL 33409-5038

Mailing address

5995 NW 56TH CT
Coral Springs, FL 33067-2730
Phone (954) 295-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 1242462FLMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Atlantic University Past Accepting new patients

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": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656806400000",
    "number": "1891034070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 NW 56TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672730",
            "telephone_number": "954-295-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 OSCEOLA DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095038",
            "telephone_number": "561-803-8880",
            "fax_number": "877-409-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTMAN",
        "first_name": "PATRICIA",
        "middle_name": "WELCH",
        "name_prefix": "Dr.",
        "credential": "PHD, MSN, RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2022-07-03",
        "certification_date": "2022-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN 1242462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.