DIANA JAYE WAMBAUGH


Address: 1270 Kot-num Rd, Warm Springs, OR 97761-1209
Phone: 2083361836

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1270 KOT-NUM RD
City WARM SPRINGS
State OR
Zip Code 97761-1209

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WARM SPRINGS
Zip Code 97761

Improve Information

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Dataset Information

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.

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