Diana Lynne Bailey, MSN, RN
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · The Dalles, OR
NPI 1396199519 · NPPES record last updated Apr 14, 2016
Key facts
- NPI
- 1396199519
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- 200440782RN (OR)
- Practice address
- 419 E 7TH St Ste 207
The Dalles, OR 97058-2676 - Phone
- (541) 296-5452
- Fax
- (541) 298-5263
- NPI assigned
- Apr 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200440782RN | OR | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Columbia Center for Living | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200440782RN | OR | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 200440782RN | OR | Yes |
Addresses
Primary practice location
419 E 7TH St Ste 207
The Dalles, OR 97058-2676
Mailing address
419 E 7TH St Ste 207
The Dalles, OR 97058-2676
Phone (541) 296-5452
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699745794 | Medicaid | OR |
Other providers in The Dalles, OR
- Kenya Arnold
- Melissa Kay Ash
- Juan Avila
- Bradley J Aytes
- Alexandria Shawneesa Azorr
- Timothy M Bak
- Michelle Baker
- Cynthia Bakos
- Maricela Elena Bandel-Ramirez
- Christopher G. Barbour
All providers in The Dalles, OR · Psychiatric/Mental Health Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.