HALEY DIEDRICK DNP, RN, CPNP-PC
NPI 1598640062
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since August 06, 2025
6330 SAN VICENTE BLVD STE 500, LOS ANGELES, CA 90048(310) 854-0770 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Haley Diedrick Dnp, Rn, Cpnp-pc NPPES

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

HALEY DIEDRICK DNP, RN, CPNP-PC (NPI 1598640062) is an individual pediatrics provider in Los Angeles, California, licensed in California (95036514) and active in the NPI registry since August 2025. She maintains a secondary practice location in Valley Village.

NPPES Registry Identity

NPI1598640062
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameHALEY DIEDRICKCredential: DNP, RN, CPNP-PC
Location Address6330 SAN VICENTE BLVD STE 500Los Angeles, CA 90048-5455
Mailing Address18734 Honey Tree LnNorthville, MI 48168-8605
Sole ProprietorNo
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
NPI 1598640062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95036514
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 95430562 (CA)
6330 SAN VICENTE BLVD STE 500, Los Angeles, CA 90048

Secondary Practice Location 1

Location 112840 Riverside Dr Ste 210Valley Village, CA 91607-3344 · Phone (818) 255-6300

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 Haley Diedrick's NPI number?

The NPI number for Haley Diedrick is 1598640062. It was assigned to this individual provider in the NPPES registry on August 6, 2025.

Where is Haley Diedrick located?

Haley Diedrick practices at 6330 San Vicente Blvd Ste 500, Los Angeles, CA 90048. The listed phone number is (310) 854-0770.

What is Haley Diedrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Haley Diedrick was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.