Individual provider Active NPI

Deana Dahl, FNP

  • Family Nurse Practitioner
  • Hood River, OR
National Provider Identifier
1679622344
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30005441 Issued in WA
Practice address
1021 June St Ste 104
Hood River, OR 97031-1516
Phone
(541) 386-3626
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30005441 WA Primary

Addresses

Primary practice location

1021 June St Ste 104
Hood River, OR 97031-1516

Mailing address

PO Box 1519
White Salmon, WA 98672
Phone (509) 493-2133

Other practice location 1

212 Skyline DR
White Salmon, WA 98672
Phone (509) 493-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130531000303 WA Practitioner - Nurse Practitioner 0749428845
I20191007001662 OR Practitioner - Nurse Practitioner 0749428845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Washington University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Family Medicine - LLCGroup PAC ID 2961564703, 8 clinicians

Practice addresses (Care Compare)

1021 June St
Hood River, OR 97031-1516
Phone (541) 386-4220

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318
  • Skyline Hospital Hospital, White Salmon, WA, CCN 501315
  • Mid-Columbia Medical Center Hospital, The Dalles, OR, CCN 380001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30005441WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Medicine - LLC CurrentSince Aug 5, 2019 Accepting new patients

Locations

1021 June St
Ste 104
Hood River, OR 97031
Phone (541) 386-3626

1021 June St
Hood River, OR 97031
Phone (541) 386-0007

Interoperability endpoints

  • Direct secure messaging: deana.dahl@326763223121924.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1679622344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1519",
            "city": "WHITE SALMON",
            "state": "WA",
            "postal_code": "98672",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JUNE ST STE 104",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311516",
            "telephone_number": "541-386-3626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Skyline DR",
            "address_purpose": "LOCATION",
            "city": "White Salmon",
            "state": "WA",
            "postal_code": "98672",
            "country_code": "US",
            "telephone_number": "509-493-2133",
            "fax_number": "509-493-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "DEANA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.