HEIDI DITTRICH NP NPI 1043989106

NPI Information

  • NPI: 1043989106
  • Provider Name: HEIDI DITTRICH, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1179 N MCDOWELL BLVD
    PETALUMA, CA
    ZIP 94954
  • Phone: (707) 559-7500

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NPI Details

Heidi Dittrich, NP is a family nurse practitioner in Petaluma, CA. Heidi Dittrich, NP NPI is 1043989106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1179 N MCDOWELL BLVD
PETALUMA, CA
ZIP 94954-559
Phone: (707) 559-7500
Fax: (707) 559-7620

The NPI 1043989106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2021 and was last updated on 10/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse95203765CALIFORNIANo
2363LF0000XNurse PractitionerFamily95018833CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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