Active NPI
Patricia Welch Dittman, PHD, MSN, RN, CDE
- Diabetes Educator Registered Nurse
- West Palm Beach, FL
National Provider Identifier
1891034070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- RN 1242462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN 1242462 | FL | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Federally Qualified Health Center (FQHC)
- West Palm Beach, FL
- NPI 1093026619
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.