Dylan Wiedeman, ATC,LAT

NPI: 1699182584

Dylan Wiedeman, ATC,LAT

Q: What is Dylan Wiedeman's NPI number?

Dylan Wiedeman's NPI number is 1699182584, a unique 10-digit identifier issued by CMS.

Q: What does Dylan Wiedeman specialize in?

Dylan Wiedeman specializes in Specialty not listed, taxonomy code 2255A2300X.

Q: Where does Dylan Wiedeman practice?

Dylan Wiedeman practices in Saint Augustine, FL 32092-1093.

Q: When was Dylan Wiedeman's NPI issued?

Dylan Wiedeman's NPI was issued on July 13, 2014.

Q: What is Dylan Wiedeman's provider type?

Dylan Wiedeman is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderSpecialty not listed

NPI issued: July 13, 2014

Quick Facts

NPI Number

1699182584

TypeIndividual

StatusActive

SpecialtySpecialty not listed

Taxonomy2255A2300X — Specialty not listed

Phone

(904) 495-4485

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1699182584)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 13, 2014)

Data source: CMS NPPES

Provider Overview

DYLAN WIEDEMAN, ATC,LAT is a Healthcare provider based in Saint Augustine, FL who has been registered with CMS since 2014. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1699182584

Provider TypeIndividual Provider

GenderMale

CredentialATC,LAT

StatusActive

Enumeration DateJuly 13, 2014

Practice Location

CitySaint Augustine

StateFL

ZIP Code32092-1093

Phone(904) 495-4485

Specialties & Licenses

★ Primary

SpecialtySpecialty not listed

Taxonomy Code2255A2300X

License StateFL

Mailing Address

CitySaint Augustine

StateFL

ZIP Code32092-1093

Phone(904) 495-4485

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1699182584 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1699182584for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1699182584 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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