David Wayne Deweese Dirgo, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP61222795 Issued in WA

Practice address

1514 Arnold St
Aberdeen, WA 98520-1909

Phone

(206) 218-2705

NPI assigned

Sep 28, 2021

Last updated

Sep 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sea Mar Community Health Centers

  dba Sea Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170
  Medicare reassignment NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642
  NPD
• Sea-Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1356487318
  NPD

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1639841745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 ARNOLD ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201909",
            "telephone_number": "206-218-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 ARNOLD ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201909",
            "telephone_number": "206-218-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEESE DIRGO",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61222795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David William Delimont, MA
• Cheryl Ann Demoss, LMP
• Charity Dempsey, DNP FNP
• Destination Hope and Recovery LLC
• Mary Ann Devine
• Oceana Bleu Dimler, LMP
• Courtney Madison Dobbs
• Jenna Dockter
• Dohrmann Family Chiropractic, Inc., PS
• Cyrus Dohrmann, D.C.

• Adult Health Nurse Practitioner in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.