Diane Rae Thorson, M.S. , R.N., PHN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R 077983-6 Issued in MN

Practice address

560 W Fir Ave
Fergus Falls, MN 56537-1364

Phone

(218) 998-8320

Fax

(218) 998-8352

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

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.

• Otter Tail County Auditor

  dba Otter Tail County Public Health

  • Public Health or Welfare Agency
  • Fergus Falls, MN
  • NPI 1023001260
  NPD (past)

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1710114111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W FIR AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371364",
            "telephone_number": "218-998-8320",
            "fax_number": "218-998-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W FIR AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565371364",
            "telephone_number": "218-998-8320",
            "fax_number": "218-998-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORSON",
        "first_name": "DIANE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "M.S. , R.N., PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MN",
            "license": "R 077983-6",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "04994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayson Thompson, PHARM.D.
• Amanda Thormodson, PHARM.D.
• Michelle Renae Thornton, RN
• April Lynn Thorson
• Brooke L. Thorson, LICSW
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #735)
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #734)
• Thrive Behavioral Network IV, LLC (Transformative Recovery Center)
• Thrive in-Home Care, LLC (Home Instead)
• Leann M Throlson

• Administrator Registered Nurse in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Administrator Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.