Individual provider Active NPI

Dianna Darland, B.A.

  • Student in an Organized Health Care Education/Training Program
  • Bullhead City, AZ
National Provider Identifier
1104249911
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
SLPA #7198 Issued in AZ
Practice address
1660 Lakeside Dr
Ste 1 # 208
Bullhead City, AZ 86442-6544
Phone
(602) 439-7400
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X SLPA #7198 AZ Primary

Addresses

Primary practice location

1660 Lakeside Dr
Ste 1 # 208
Bullhead City, AZ 86442-6544

Mailing address

1660 Lakeside Dr
Ste 1 # 208
Bullhead City, AZ 86442-6544

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
SLPA #7198AZMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391040000000",
    "number": "1104249911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 LAKESIDE DR",
            "address_2": "STE 1 # 208",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 LAKESIDE DR",
            "address_2": "STE 1 # 208",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426544",
            "telephone_number": "602-439-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARLAND",
        "first_name": "DIANNA",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "SLPA #7198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.