Active NPI
Diana Nair Patalagoyti I, BA
- Counselor
- Everett, WA
National Provider Identifier
1700959004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 00055559
- Practice address
- 1031 SE Everett Mall Way
Everett, WA 98208-2833 - Phone
- (425) 609-5505
- Fax
- (425) 609-5506
- NPI assigned
- Nov 16, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00055559 | WA | Primary |
Addresses
Primary practice location
1031 SE Everett Mall Way
Everett, WA 98208-2833
Mailing address
2318 McGilvra Blvd E
Seattle, WA 98112-2745
Phone (425) 609-5505
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00055559 | WA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1992870208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700959004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 MCGILVRA BLVD E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981122745",
"telephone_number": "425-609-5505",
"fax_number": "425-609-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 SE EVERETT MALL WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082833",
"telephone_number": "425-609-5505",
"fax_number": "425-609-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATALAGOYTI",
"first_name": "DIANA",
"middle_name": "NAIR",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "00055559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.