Active NPI
Diane Hazell
- Dental Hygienist
- Vancouver, WA
National Provider Identifier
1588022776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- IL 60564805
- Practice address
- 2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036 - Phone
- (360) 718-2355
- Fax
- (360) 828-7782
- NPI assigned
- Feb 3, 2016
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | IL 60564805 | WA | Primary |
Addresses
Primary practice location
2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036
Mailing address
2621 NE 134TH St Ste 300
Vancouver, WA 98686-3036
Phone (360) 718-2355
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 |
|---|---|---|---|
| IL 60564805 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1588022776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "360-718-2355",
"fax_number": "360-828-7782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 NE 134TH ST STE 300",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986863036",
"telephone_number": "360-718-2355",
"fax_number": "360-828-7782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAZELL",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "IL 60564805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.