DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KAITLYN DIETZ RDN, LDN

MEDICARE: KAITLYN DIETZ RDN, LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianND8120FL

General Provider Information

NPI Number : 1225775034
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN DIETZ RDN, LDN
Provider Business Mailing Address
First Line : PO BOX 44008
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32231-4008
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 841 PRUDENTIAL DR STE 1900
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8373
Country : US
Telephone Number : 904-427-0517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2022
Last Update Date : 03/17/2026

Similar Medicare Providers

1437581758 — MRS. AMYSUE GALLAGHER LCSW
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 904-633-9020
Practice Fax:
1750706545 — SHEALY AGHAMALIAN PA-C
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 904-633-0926
Practice Fax:
1922409580 — MRS. LINDSEY BETH HOLLINGSWORTH PA-C
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 904-244-9233
Practice Fax:
1164829768 — NATALIE MIXSON SHALLOW DNP, APRN, FNP-BC
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 904-427-8453
Practice Fax: 904-633-0958
1699142471 — JEANINE ONISCHUCK N.P.
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 904-427-7076
Practice Fax: 904-633-0958
1619452752 — RILEY LEWIS CARROLL
Practice Location Address:
841 PRUDENTIAL DR STE 1900
JACKSONVILLE, FL
32207-8373
Practice Phone: 855-832-6727
Practice Fax:

Directions to “ KAITLYN DIETZ RDN, LDN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.