Active NPI
Abdoulaye Diallo
- Nurse's Aide
- Renton, WA
National Provider Identifier
1265714224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NC 60175996
- Practice address
- 4176 Lind Ave SW
Renton, WA 98057-4973 - Phone
- (425) 226-0707
- NPI assigned
- Sep 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NC 60175996 | WA | Primary |
Addresses
Primary practice location
4176 Lind Ave SW
Renton, WA 98057-4973
Mailing address
5401 110TH PL NE
Marysville, WA 98271-8811
Phone (206) 715-8345
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 |
|---|---|---|---|
| NC 60175996 | WA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1265714224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 110TH PL NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982718811",
"telephone_number": "206-715-8345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4176 LIND AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980574973",
"telephone_number": "425-226-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIALLO",
"first_name": "ABDOULAYE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC 60175996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.