Doris Dittrich
Nurse Practitioner • Watertown, NY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Doris Dittrich has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Doris Dittrich was a registered Nurse Practitioner practicing in Watertown, NY. Throughout an active medical career spanning 10 years, Doris Dittrich provided care at the practice location at 19742 NY STATE RTE 12F until profile deactivation on 2019-01-07.
Practice Location & Contact Primary Location
19742 Ny State Rte 12f
Watertown, NY 136011077
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Watertown, NY
Practicing in Watertown, NY (3155 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 07, 2019
NPI status registered as active in NPPES database
Registered at 19742 NY STATE RTE 12F, WATERTOWN, NY 136011077 (Tel: 3157826927)
Registered at 19742 NY STATE RTE 12F, WATERTOWN, NY 136011077 (Tel: 3157826927)
Recorded as DORIS DITTRICH
Nurse Practitioner (License #300132 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
19742 Ny State Rte 12f
Watertown, NY 136011077
Phone: 3157826927
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