Dianna Fornasier, RN CDCES
Individual provider Active NPI Diabetes Educator Registered Nurse · Dillingham, AK
NPI 1104097153 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1104097153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diabetes Educator Registered Nurse 163WD0400X
- License
- NURR33215 (AK)
- Practice address
- Bristol Bay Area Health Corporation
6000 Kankanak Rd
Dillingham, AK 99576 - Phone
- (907) 843-2206
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NURR33215 | AK | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Aleutian Tribes, Inc | Past | Accepting new patients | |
| Eastern Aleutian Tribes, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | NURR33215 | AK | Yes |
Addresses
Primary practice location
Bristol Bay Area Health Corporation
6000 Kankanak Rd
Dillingham, AK 99576
Mailing address
PO Box 1333
Dillingham, AK 99576-1333
Phone (907) 843-2206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDG921 | Medicaid | AK |
Other providers in Dillingham, AK
- Christian Espinosa
- Gabrielle Flamm
- Keilyn Margaret Flensburg
- Colleen Ann Fogg
- Alisha Marie Folsom
- Starla Fox
- Thomas F Gardiner IV
- Christine Alma Garner
- Herman Geffe
- Kristen George
All providers in Dillingham, AK · Diabetes Educator Registered Nurse in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.