Active NPI
Ioana M Diaconu, MD
- Geriatric Psychiatry Physician
- Kirkland, WA
National Provider Identifier
1679515142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- MD00041900
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1121037 | Medicaid | WA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00041900 | WA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurostim TMS, PS | Current | Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | Accepting new patients | |
| Lewis County Hospital District No. 1 | Current | 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.
-
- Emergency Medicine Physician
- Morton, WA
- NPI 1205882909
-
- Surgery Physician
- Morton, WA
- NPI 1386679777
-
- Rural Health Clinic/Center
- Packwood, WA
- NPI 1497466494
-
- Rural Health Clinic/Center
- Morton, WA
- NPI 1952415432
-
- Psychiatry Physician
- Lakewood, WA
- NPI 1710415617
-
- Psychiatry Physician
- Kirkland, WA
- NPI 1659568541
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.