DIANA JAYE WAMBAUGH (NPI# 1366699985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366699985 |
Entity Type | Individual |
Full Name | DIANA JAYE WAMBAUGH |
Credential | NURSE PRACTITIONER |
Practice Address |
1270 Kot-num Rd Warm Springs OR 97761-1209 |
Mailing Address |
Po Box 1209 Warm Springs OR 97761-1209 |
Practice Telephone | 2083361836 |
Mailing Telephone | 2083361836 |
Enumeration Date | 2008-08-26 |
Last Update Date | 2012-12-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP 370A | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1270 KOT-NUM RD |
City | WARM SPRINGS |
State | OR |
Zip Code | 97761-1209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
1265886881 | Jessica Hall | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 96641 | 2016-04-20 |
1780047563 | Lisa Majewski | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2016-03-30 |
1417315607 | Francisco Silva IIi | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2016-02-03 |
1902110968 | The Confederated Tribes of Warm Springs Reservation of Oregon | Public Health or Welfare | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2010-08-02 |
1104073568 | Cheryl Lynn Sixkiller | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761-1209 | 2008-08-27 |
1376672352 | Warm Springs Health and Wellness Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2007-03-05 |
1780747592 | Constance Jean Street | Registered Nurse | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2006-12-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
1952303273 | Stephen Miles Rudd | Family Medicine | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2005-06-01 |
1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
1376199398 | The Confederated Tribes of The Warm Springs Reservation of Oregon | Physical Therapist | 2124 Warm Springs St., Warm Springs, OR 97761 | 2019-08-15 |
1629623442 | Marilee Nizhoni Chapman | Pharmacist | 1270 Kot-num Road, Warm Springs, OR 97761 | 2019-08-08 |
Find all providers in zip 97761 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609342930 | Ashley Smith | Nurse Practitioner | 65 Minnie Mill Ln, Warm Springs, GA 31830-2203 | 2018-10-14 |
1689622946 | Virginia Hudson | Nurse Practitioner | 3939 White House Pkwy, Warm Springs, GA 31830-2455 | 2006-05-05 |
1265437172 | Joanne Wallis | Nurse Practitioner | 1270 Kot-num Road, Warm Springs, OR 97761-1209 | 2005-06-16 |
1073776647 | Georgia Department of Labor | Nurse Practitioner | 6391 Roosevelt Hwy, Warm Springs, GA 31830-2281 | 2008-07-03 |
1770777237 | Jeri Payne | Nurse Practitioner | 1 Main Street, Warm Springs, MT 59756 | 2007-08-28 |
1982783460 | Dwight Carpen | Nurse Practitioner | 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-11-03 |
1285625822 | Ronald Arthur Berry | Nurse Practitioner | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2005-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700484631 | Dana Marie Hampton | Nurse Practitioner | 2474 Sw Perkins Ave, Pendleton, OR 97801-4302 | 2020-10-13 |
1730796525 | Eden Fair | Nurse Practitioner | 841 E Cascade Ave, Sisters, OR 97759-5014 | 2020-09-25 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1548870306 | Virtual Recovery | Nurse Practitioner | 1038 Heathrow Dr, Eugene, OR 97402-1585 | 2020-08-06 |
1174148969 | Martina D Ford | Nurse Practitioner | 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223-5421 | 2020-06-08 |
1134740152 | South Coast Healthcare LLC | Nurse Practitioner | 29641 Ellensburg Ave, Gold Beach, OR 97444-8701 | 2020-04-30 |
1124657887 | Shelly Prather | Nurse Practitioner | 350 Wheeler St, Lebanon, OR 97355-4349 | 2020-04-05 |
1811521586 | Valorine Tsopmoh Tsopmoh | Nurse Practitioner | 924 Se Sacha Pl, Hillsboro, OR 97123-4685 | 2020-03-02 |
1174163356 | Erika Nichole Adams | Nurse Practitioner | 180 Ford Rd., John Day, OR 97845 | 2020-01-15 |
1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
Find all providers with the same taxonomy |
City | WARM SPRINGS |
Zip Code | 97761 |
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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.