Organization Active NPI

Diana Tattoni

  • Primary Care Clinic/Center
  • Kirkland, WA
National Provider Identifier
1558521237
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
BUS0973 Issued in WA
Legal business name
DIANA TATTONI
Practice address
433 State St S Ste 1
Kirkland, WA 98033-6615
Phone
(425) 828-3626
Fax
(425) 828-3628
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Veronica Martinez
Title
Office Martinez
Phone
(425) 828-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X BUS0973 WA Primary

Addresses

Primary practice location

433 State St S Ste 1
Kirkland, WA 98033-6615

Mailing address

433 State St S Ste 1
Kirkland, WA 98033-6615
Phone (425) 828-3626

Other identifiers 1

IdentifierTypeStateIssuer
1049303MedicaidWA

National Provider Directory

National Provider Directory

Locations

433 State St S Ste 1
Kirkland, WA 98033
Phone (425) 828-3626

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1558521237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 STATE ST S STE 1",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336615",
            "telephone_number": "425-828-3626",
            "fax_number": "425-828-3628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 STATE ST S STE 1",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336615",
            "telephone_number": "425-828-3626",
            "fax_number": "425-828-3628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA TATTONI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OFFICE MARTINEZ",
        "authorized_official_telephone_number": "425-828-3626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "BUS0973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1049303",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.