Individual provider Active NPI

Diane Marie O'Laughlin, RN, PHN, FNP

  • Family Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1245505767
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21967 Issued in CA
Practice address
9260 Laguna Springs Dr
Elk Grove, CA 95758-7947
Phone
(916) 294-0706
NPI assigned
Mar 16, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 500006 CA
Family Nurse Practitioner 363LF0000X 21967 CA Primary
School Registered Nurse 163WS0200X 30239486 CA

Addresses

Primary practice location

9260 Laguna Springs Dr
Elk Grove, CA 95758-7947

Mailing address

PO Box 4038
Sacramento, CA 95812-4038
Phone (916) 294-0706

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, Registered Nurse

State licenses

LicenseStateTypeSpecialty
500006CAMDRegistered Nurse
30239486CAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1245505767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4038",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958124038",
            "telephone_number": "916-294-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 LAGUNA SPRINGS DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587947",
            "telephone_number": "916-294-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'LAUGHLIN",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "RN, PHN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "500006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21967",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "30239486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.