Active NPI
Diana Clelland, RD, CD
- Registered Dietitian
- Prosser, WA
National Provider Identifier
1487070934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DI 60429179
- Practice address
- 820 Memorial St Ste 1
Prosser, WA 99350-2504 - Phone
- (509) 788-1788
- NPI assigned
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DI 60429179 | WA | Primary |
Addresses
Primary practice location
820 Memorial St Ste 1
Prosser, WA 99350-2504
Mailing address
820 Memorial St Ste 1
Prosser, WA 99350-2504
Phone (509) 788-1788
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 |
|---|---|---|---|
| DI 60429179 | WA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1487070934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 MEMORIAL ST STE 1",
"city": "PROSSER",
"state": "WA",
"postal_code": "993502504",
"telephone_number": "509-788-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 MEMORIAL ST STE 1",
"city": "PROSSER",
"state": "WA",
"postal_code": "993502504",
"telephone_number": "509-788-1788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLELLAND",
"first_name": "DIANA",
"name_prefix": "Mrs.",
"credential": "RD, CD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WA",
"license": "DI 60429179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prosser, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.