Individual provider Active NPI

Diana Nair Patalagoyti I, BA

  • Counselor
  • Everett, WA
National Provider Identifier
1700959004
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
00055559 Issued in WA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
00055559WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.