Active NPI
Diane Bingham, RN
- Registered Nurse
- Portland, OR
National Provider Identifier
1700238375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 099007797RN
- Practice address
- 12360 E Burnside St
Portland, OR 97233-1042 - Phone
- (971) 279-4800
- Fax
- (971) 279-2051
- NPI assigned
- Jul 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60065138RN | WA | |
| Registered Nurse | 163W00000X | 099007797RN | OR | Primary |
| Registered Nurse | 163W00000X | 211238-3102 | UT | |
| Registered Nurse | 163W00000X | 45076 | OK | |
| Registered Nurse | 163W00000X | RN27019 | NV | |
| Registered Nurse | 163W00000X | T-551095 | NV |
Addresses
Primary practice location
12360 E Burnside St
Portland, OR 97233-1042
Mailing address
210 NE 92ND PL
Portland, OR 97220-4521
Phone (503) 252-5555
Other practice location 1
14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN27019 | NV | MD | Registered Nurse |
| T-551095 | NV | MD | Registered Nurse |
| 45076 | OK | MD | Registered Nurse |
| 099007797RN | OR | MD | Registered Nurse |
| 211238-3102 | UT | MD | Registered Nurse |
| 60065138RN | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1700238375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 NE 92ND PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972204521",
"telephone_number": "503-252-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 E BURNSIDE ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331042",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051"
}
],
"practiceLocations": [
{
"address_1": "14600 NW Cornell Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972295442",
"country_code": "US",
"telephone_number": "503-645-3581",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BINGHAM",
"first_name": "DIANE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-07",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "60065138RN",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OR",
"license": "099007797RN",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "UT",
"license": "211238-3102",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "45076",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN27019",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "T-551095",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.