Kristine Megan Diedrich, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

165350 Issued in CO

Practice address

301 S Union Blvd
Colorado Springs, CO 80910-3123

Phone

(719) 578-3275

NPI assigned

Feb 27, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932236346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 VALEJO CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182275",
            "telephone_number": "719-210-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S UNION BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103123",
            "telephone_number": "719-578-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDRICH",
        "first_name": "KRISTINE",
        "middle_name": "MEGAN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "165350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80020551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda E Dickson, MA CCC-SLP
• Mary M. Dickson, M.D.
• William J Dickson, D.D.S
• Irrah Marie Tariman Dico, MA
• Amanda Dicristina, RDH
• Rachel Marie Marientes Diega, PHARM.D
• Angie Diehl, MA, LPC, NCC
• James T Diehl
• Rebecca Ann Diekelman, CCC-SLP
• Mariah Dieker, OTR/L

• Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.