Active NPI
Dianna Zander
- School Registered Nurse
- Lacey, WA
National Provider Identifier
1053723320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 00068489
- Practice address
- 350 River Ridge Dr SE
Lacey, WA 98513-6830 - Phone
- (360) 412-4830
- Fax
- (360) 412-4839
- NPI assigned
- May 21, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 00068489 | WA | Primary |
Addresses
Primary practice location
350 River Ridge Dr SE
Lacey, WA 98513-6830
Mailing address
350 River Ridge Drive SE
Lacey, WA 98513
Phone (360) 412-4830
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00068489 | WA | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1053723320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 RIVER RIDGE DRIVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "98513",
"telephone_number": "360-412-4830",
"fax_number": "360-412-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 RIVER RIDGE DR SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985136830",
"telephone_number": "360-412-4830",
"fax_number": "360-412-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANDER",
"first_name": "DIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WA",
"license": "00068489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.