Active NPI
Dianna Kay Magginetti, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Waterloo, IA
National Provider Identifier
1013115757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G156946
- Practice address
- 905 Franklin St
Waterloo, IA 50703-4407 - Phone
- (319) 874-3000
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60585215 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G156946 | IA | Primary |
Addresses
Primary practice location
905 Franklin St
Waterloo, IA 50703-4407
Mailing address
905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000
Other practice location 1
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01540043 | Other | WA | RR PTAN |
| 1013115757 | Medicaid | WA |
Other names 1
- Dianna Kay Treolo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G156946 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60585215 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1013115757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 FRANKLIN ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034407",
"telephone_number": "319-874-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 FRANKLIN ST",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507034407",
"telephone_number": "319-874-3000"
}
],
"practiceLocations": [
{
"address_1": "820 N Chelan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012028",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAGGINETTI",
"first_name": "DIANNA",
"middle_name": "KAY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60585215",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G156946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR PTAN",
"identifier": "P01540043",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1013115757",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNA",
"last_name": "TREOLO",
"middle_name": "KAY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.