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KELLY LEE DITTBERNER
NPI 1376710251
Home Health in Portage, WI

Active since May 10, 2008
215 NORTHRIDGE DR, PORTAGE, WI 53901(608) 516-9337(608) 745-0333 Get Directions Write a Review

NPPES record last updated: May 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Lee Dittberner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LEE DITTBERNER (NPI 1376710251) is an individual home health provider in Portage, Wisconsin and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1376710251
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameKELLY LEE DITTBERNER
Location Address215 NORTHRIDGE DRPortage, WI 53901-9294
Mailing AddressW12250 Hillcrest DrLodi, WI 53555-9329 · (608) 516-9337 · Fax (608) 592-5818
Phone(608) 516-9337
Fax(608) 745-0333
Sole ProprietorYes
Enumeration DateMay 10, 2008
✔ NPI 1376710251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
215 NORTHRIDGE DR, Portage, WI 53901
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REST ASSURED HOME HEALTH CARE LLC
Home Health
215 NORTHRIDGE DR
PORTAGE, WI 53901
Columbia County (608) 516-9337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Dittberner's NPI number?

The NPI number for Kelly Dittberner is 1376710251. It was assigned to this individual provider in the NPPES registry on May 10, 2008.

Where is Kelly Dittberner located?

Kelly Dittberner practices at 215 Northridge Dr, Portage, WI 53901. The listed phone number is (608) 516-9337.

What is Kelly Dittberner's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Kelly Dittberner was last updated on May 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.