Individual provider Active NPI

Ioana M Diaconu, MD

  • Geriatric Psychiatry Physician
  • Kirkland, WA
National Provider Identifier
1679515142
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
MD00041900 Issued in WA
Practice address
620 Kirkland Way
200
Kirkland, WA 98033-6021
Phone
(425) 889-5045
NPI assigned
Jun 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X MD00041900 WA Primary

Addresses

Primary practice location

620 Kirkland Way
200
Kirkland, WA 98033-6021

Mailing address

PO Box 2725
200
Kirkland, WA 98083-2725
Phone (425) 354-3723

Other identifiers 1

IdentifierTypeStateIssuer
1121037MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00041900WAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurostim TMS, PS CurrentSince May 14, 2021 Accepting new patients
Lewis County Hospital District No. 1 Current Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Nov 1, 2020 Accepting new patients
Lewis County Hospital District No. 1 CurrentSince Nov 1, 2020 Accepting new patients
Lewis County Hospital District No. 1 Current Accepting new patients
Adam R Rosen, MD, PS Past Accepting new patients

Locations

9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763

108 Kindle Rd
Randle, WA 98377
Phone (360) 497-3333

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1679515142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2725",
            "address_2": "200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980832725",
            "telephone_number": "425-354-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 KIRKLAND WAY",
            "address_2": "200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336021",
            "telephone_number": "425-889-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIACONU",
        "first_name": "IOANA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-11",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "WA",
            "license": "MD00041900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121037",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.