DR. DIANA E. VELIKOVA (NPI# 1841295615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841295615 |
| Entity Type | Individual |
| Full Name | DR. DIANA E. VELIKOVA |
| Other Name | DR. DIANA E. VELIKOVA |
| Credential | M.D. |
| Practice Address |
2555 Marvin Rd Ne Lacey WA 98516-3138 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3609234600 |
| Practice Fax Number | 3604122256 |
| Mailing Telephone | 8777472455 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD00042875 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8381659 | 05 |
| Street Address |
2555 MARVIN RD NE |
| City | LACEY |
| State | WA |
| Zip Code | 98516-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346733649 | Megan Lynn Frasier | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2018-06-11 |
| 1063913242 | Hillary Marie Brodin | Community Health Worker | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2018-02-23 |
| 1639679806 | Rebecca M Whearty | Community Health Worker | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2018-02-14 |
| 1871007906 | Laboratory Corporation of America | Clinical Medical Laboratory | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2017-11-28 |
| 1710426002 | Kimberley Y Nakai | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2017-02-20 |
| 1144675133 | Preston Michael Stephens | Family Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2016-04-27 |
| 1346694403 | Manvi Smith | Psychologist | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516-3138 | 2016-04-14 |
| 1114389962 | Sarah M Kinnard | Nurse Practitioner | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2016-03-22 |
| 1417364761 | Molly Jean Martin | Nurse Practitioner | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2014-07-18 |
| 1043625494 | Carrie Welty | Nurse Practitioner | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Fm, Lacey, WA 98516-3138 | 2014-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730744210 | Michael Oropeza | Behavioral Analyst | 8282 28th Court Northeast, Suite A, Lacey, WA 98516 | 2019-05-09 |
| 1902361330 | Amanda Jessica Mae Allen | Behavioral Analyst | Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 | 2019-02-11 |
| 1619459393 | Kayla-renee Williams | Behavioral Analyst | Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 | 2018-08-30 |
| 1174004303 | Julie Ann Lisowski | Massage Therapist | 3532 Cuddy Ln Ne, Lacey, WA 98516 | 2018-08-26 |
| 1740700145 | Joseph Brandon Kimmel | Denturist | 5032 Beverly Dr Ne, Olympia, WA 98516 | 2017-06-27 |
| 1649649880 | Katie Cole | Behavioral Analyst | 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 | 2015-09-17 |
| 1306234166 | Reza Tahernia | Dentist | 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 | 2015-01-02 |
| 1770997603 | Qualified Surgical Services Pllc | Surgery | 3697 Cameron Dr Ne, Lacey, WA 98516 | 2014-06-18 |
| 1184048688 | Stephanie Renee Hjortedal | Specialist/Technologist | 8750 Tallon Lane Ne., Lacey, WA 98516 | 2014-02-05 |
| 1295169811 | Teasha Corrado | Behavioral Analyst | 8282 28th Court Ne, Suite A, Lacey, WA 98516 | 2013-08-30 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306018262 | Wilfred Leung | Internal Medicine | 605 Woodland Square Loop Se, Lacey, WA 98503-1045 | 2008-03-31 |
| 1144386400 | Gordon F. Rennie | Internal Medicine | 1450 Northwest Ln Se Ste A, Lacey, WA 98503-6908 | 2006-12-29 |
| 1639272701 | Susan V Links | Internal Medicine | 3928 Pacific Ave Se, Lacey, WA 98503-1109 | 2006-09-06 |
| 1023012879 | Ana Maria Mihalcea | Internal Medicine | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 | 2005-06-09 |
| 1053501452 | Ioan Vlad Nicolescu | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 2007-07-31 |
| 1801996483 | Angela I Chan | Internal Medicine | 3928 Pacific Ave Se, Lacey, WA 98503-1109 | 2006-09-24 |
| 1568560241 | Jane M. Geraci | Internal Medicine | 2555 Marvin Rd Ne, Lacey, WA 98516 | 2006-09-20 |
| 1972537918 | Edward L Jansen | Internal Medicine | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2006-07-10 |
| 1225028053 | Jay S Smitherman | Internal Medicine | 2555 Marvin Rd Ne, Pmg Sw Wa Hawks Prairie Im, Lacey, WA 98516-3138 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382224 | Heart Central of Washington | Internal Medicine | 1006 S 64th Ave Ste 110, Yakima, WA 98908-2090 | 2020-10-07 |
| 1265049829 | Robert I Hustrulid Md Pllc | Internal Medicine | 3807 S Sommer Rd, Veradale, WA 99037-9136 | 2020-09-28 |
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1740898766 | Abx Medical Pllc | Internal Medicine | 2523 Simon Ln Ne, Olympia, WA 98506-3553 | 2020-07-15 |
| 1225656614 | Sentinel Healthcare Corporation | Internal Medicine | 2220 76th Ave Se, Mercer Island, WA 98040-2114 | 2020-07-11 |
| 1730718628 | Brendan Eugene Raney | Internal Medicine | 202 N Borough Rd, Tacoma, WA 98403-2804 | 2020-04-03 |
| 1609404136 | Abigail Anne Cano Deleon | Internal Medicine | 4252 E Roosevelt Ave, Tacoma, WA 98404-4658 | 2020-03-30 |
| 1528691706 | Blue Med Inc. | Internal Medicine | 1222 N Sunset Dr, Tacoma, WA 98406-1027 | 2020-02-17 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
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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.