Raina Diedrick, PHYSICIAN ASSISTANT
NPI 1073895132 · Physician Assistant · Fort Lauderdale, FL
Raina Diedrick, PHYSICIAN ASSISTANT is a Physician Assistant provider in Fort Lauderdale, FL (NPI 1073895132).
Provider details
- NPI number
- 1073895132
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 000000000 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 17546 Montessa TerJacksonville, FL 32226-1122Phone: (561) 385-4029
Registry dates
- Enumerated
- 2011-09-15
- Last updated
- 2020-06-10
- Certified
- 2020-06-10
Frequently asked questions
- What is Raina Diedrick's NPI number?
- Raina Diedrick's National Provider Identifier (NPI) is 1073895132, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raina Diedrick's specialty?
- Raina Diedrick is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Raina Diedrick located?
- Raina Diedrick's practice location on file with NPPES is 1995 E Oakland Park Blvd, Fort Lauderdale, FL 33306-1138.
- What is Raina Diedrick's phone number?
- The practice phone number listed in the NPPES registry for Raina Diedrick is (954) 791-6146.
- Is Raina Diedrick's NPI active?
- Yes — Raina Diedrick's NPI (1073895132) is active in the NPPES registry as of the last update on 2020-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.