Brandi Daneta Diaz, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60359572 Issued in WA

Practice address

3231 W 13TH Ave
Kennewick, WA 99338-2121

Phone

(509) 396-7189

Fax

(509) 987-1248

NPI assigned

Mar 26, 2025

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1669274072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N NEVADA ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361021",
            "telephone_number": "509-987-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 W 13TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993382121",
            "telephone_number": "509-396-7189",
            "fax_number": "509-987-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "BRANDI",
        "middle_name": "DANETA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60359572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Dewulf
• Dexter B Brown DDS Ms
• Amita V. Dhatrika, M.D.
• Diagnostic Imaging Associates
• Avel M Diaz, BA
• Danyell L Diaz, RDH
• Melinda Diaz
• Mia Dickenson
• Crystal Dawnelle Dickerson, M.D.
• Erin J Dickerson, RD

• Registered Nurse in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.