Individual provider Active NPI

Diana Eugenia Moser, ARNP FNP-BC

  • Primary Care Nurse Practitioner
  • Aberdeen, WA
National Provider Identifier
1154329555
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP30004523 Issued in WA
Practice address
511 W Heron St
Aberdeen, WA 98520-6022
Phone
(564) 544-1950
Fax
(564) 544-1938
NPI assigned
Jul 9, 2005
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30004523 WA
Primary Care Nurse Practitioner 363LP2300X AP30004523 WA Primary

Addresses

Primary practice location

511 W Heron St
Aberdeen, WA 98520-6022

Mailing address

511 W Heron St
Aberdeen, WA 98520-6022
Phone (564) 544-1950

Other practice location 1

716 1st Ave S
Okanogan, WA 98840-9679
Phone (509) 422-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180328001431 CA Practitioner - Nurse Practitioner 2769475623 Reassigns benefits to 2 organizations
I20200423000595 TX Practitioner - Nurse Practitioner 2769475623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30004523WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit CurrentSince Jun 11, 2023 Accepting new patients
Karuk Tribe CurrentSince Sep 21, 2020 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Feb 10, 2018 Accepting new patients
Karuk Tribe Current Accepting new patients
Open Door Community Health Centers CurrentSince Feb 10, 2018 Accepting new patients
Karuk Tribe CurrentSince Sep 21, 2020 Accepting new patients
Pacific County Hospital District 2 PastSince Aug 1, 2012 Accepting new patients
Pacific County Hospital District 2 Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

2200 Tydd St
Eureka, CA 95501
Phone (707) 269-7051

670 9th St
Ste 203
McKinleyville, CA 95521

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1154329555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W HERON ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206022",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W HERON ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985206022",
            "telephone_number": "564-544-1950",
            "fax_number": "564-544-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "716 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Okanogan",
            "state": "WA",
            "postal_code": "988409679",
            "country_code": "US",
            "telephone_number": "509-422-5700",
            "fax_number": "509-422-7680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSER",
        "first_name": "DIANA",
        "middle_name": "EUGENIA",
        "name_prefix": "Ms.",
        "credential": "ARNP FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-09",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30004523",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30004523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.