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LEE A DIEDERICK CRNA
NPI 1699792556
Nurse Anesthetist, Certified Registered in Fargo, ND

Active since July 16, 2006
737 BROADWAY, FARGO, ND 58122(701) 234-6258(701) 234-2345 Get Directions Write a Review

NPPES record last updated: September 24, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lee A Diederick Crna NPPES

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

LEE A DIEDERICK CRNA (NPI 1699792556) is an individual nurse anesthetist, certified registered in Fargo, North Dakota, licensed in North Dakota (R15726) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1699792556
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameLEE A DIEDERICKCredential: CRNA
Location Address737 BROADWAYFargo, ND 58122-0001
Mailing Address737 BroadwayFargo, ND 58122-0001 · (701) 234-6258 · Fax (701) 234-2345
Phone(701) 234-6258
Fax(701) 234-2345
Sole ProprietorNo
Enumeration DateJuly 16, 2006
Last NPPES UpdateSeptember 24, 2008
✔ NPI 1699792556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ND · R15726
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
737 BROADWAY, Fargo, ND 58122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 20

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

TODD D UNDERDAHL CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-6258
KATIE C BUSKER CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-6258
KRISTIN L MOHR LRD
Dietitian, Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-2245
ROBERT C MONTGOMERY MD
Pediatrics
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-2000
DEANNA M BALVITSCH CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-5621
CHARLENE K SCHREIBER CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-6258
LYNN E NELLERMOE CRNA
Nurse Anesthetist, Certified Registered
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-6258
KRISTEN M LIEBL LRD
Dietary Manager
737 BROADWAY
FARGO, ND 58122
Cass County (701) 234-2245

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 Lee Diederick's NPI number?

The NPI number for Lee Diederick is 1699792556. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Lee Diederick located?

Lee Diederick practices at 737 Broadway, Fargo, ND 58122. The listed phone number is (701) 234-6258.

What is Lee Diederick's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

What insurance does Lee Diederick accept?

Health plans from Medica list Lee Diederick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Diederick was last updated on September 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.