Diandra Elizabeth Ulloa-Pacheco

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1007 Koala Dr
Omak, WA 98841-9247

Phone

(509) 826-6191

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Okanogan Behavioral Healthcare

  • Mental Health Counselor
  • Omak, WA
  • NPI 1154324929
  NPD
• Mindcare Solutions of Texas PA

  • Psychiatry Physician
  • Austin, TX
  • NPI 1396290730
  NPD

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1295516920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988410685",
            "telephone_number": "509-861-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 KOALA DR",
            "city": "OMAK",
            "state": "WA",
            "postal_code": "988419247",
            "telephone_number": "509-826-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLOA-PACHECO",
        "first_name": "DIANDRA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie C Tregillus, MD
• Troy Robeck, DDS, PLLC
• McKaley Trussell
• Bruce Orville Turk, MSW
• Michael Lee Turnington, ARNP, FNP-BC
• Elizabeth Ulloa
• Valley Counseling and Wellness PLLC
• Debra Louise Vanbrunt
• Maricela Vargas
• Jennifer Vazquez

• Case Manager/Care Coordinator in Omak, WA
• Providers in Omak, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.