Diana L. Wolpaw, RN, PHN, MPH

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

RN00176077 Issued in WA

Practice address

3020 Rucker Ave
Everett, WA 98201

Phone

(425) 339-8658

Fax

(425) 339-5255

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Diana L. Plumer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1306082854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013900",
            "telephone_number": "425-339-8658",
            "fax_number": "425-339-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 RUCKER AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-339-8658",
            "fax_number": "425-339-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLPAW",
        "first_name": "DIANA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "RN, PHN, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "WA",
            "license": "RN00176077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "PLUMER",
            "middle_name": "L.",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven Mark Wolff, DMD
• Annika Rose Wolfgram
• Tyler Graham Wolhart
• Isabelle Mayer Woll
• Pearl Vivian Wollin, MSW
• William Arthur Wolter, NP-C
• Ellen Won
• Alan Wong, MD
• Emily Chao Wong, NP-C
• Eric Cameron Wong, PHARM.D.

• Community Health Registered Nurse in Everett, WA
• Providers in Everett, WA by specialty
• Community Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.