DIANA WILCOX (NPI# 1114569464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114569464 |
Entity Type | Individual |
Full Name | DIANA WILCOX |
Credential | RN |
Practice Address |
2011 Mottman Rd Sw Tumwater WA 98512-6218 |
Practice Telephone | 3605965200 |
Enumeration Date | 2019-10-08 |
Last Update Date | 2020-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN60558972 | WA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | RN | RN60558972 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588100978 | Diana Lee Wilcox | Psychologist | 913 Franklin Ave Ste 207, Waco, TX 76701-1950 | 2017-01-10 |
1881810489 | Diana L. Wilcox | Nurse Practitioner | 9765 E Prospect Rd, Hillsboro, OH 45133-9084 | 2007-04-18 |
Street Address |
2011 MOTTMAN RD SW |
City | TUMWATER |
State | WA |
Zip Code | 98512-6218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
Find all providers in zip 98512 |
Taxonomy Code | 163WP0808X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154822245 | Victoria E David | Registered Nurse | 3285 Ferguson St Sw, Tumwater, WA 98512 | 2018-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346848561 | Heidi Lynnette Kangas | Registered Nurse | 1128 Broadway St, Longview, WA 98632-3831 | 2020-10-09 |
1184235418 | Afuthal Ndugwa Ssemakula | Registered Nurse | 614 Riverside Dr Apt B103, Wenatchee, WA 98801-6154 | 2020-08-11 |
1225671969 | Virginia Hadley | Registered Nurse | 3436 Mary Elder Rd Ne # E&t, Olympia, WA 98506-5050 | 2019-10-25 |
1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
1609351717 | Charlotte Gex Morgan | Registered Nurse | 57 W Main St Ste 260, Chehalis, WA 98532-4815 | 2018-09-25 |
1821571050 | Kimberlee Susan Long | Registered Nurse | 4104 Puffin Rd, Ferndale, WA 98248-9579 | 2018-09-13 |
1235669607 | Bridget Lash | Registered Nurse | 4319 Tyler Way, Anacortes, WA 98221-3215 | 2017-06-18 |
1174072623 | Vicki Boothe | Registered Nurse | 26254 Ne Barrett Rd, Kingston, WA 98346-9342 | 2016-09-26 |
1265981997 | Lorraine Jeanette Diricco | Registered Nurse | 1717 W Francis Ave Ste 204, Spokane, WA 99205 | 2016-09-22 |
1265897110 | Lauren Mitchell | Registered Nurse | 8007 Ne 38th Ave, Vancouver, WA 98665-1159 | 2015-12-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.