Sharyl M Dill, LP00012610

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00012610 Issued in WA

Practice address

906 Chase Ave
Walla Walla, WA 99362-3974

Phone

(509) 626-1909

Fax

(505) 270-3048

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1710224233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 CHASE AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623974",
            "telephone_number": "509-626-1909",
            "fax_number": "505-270-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 CHASE AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623974",
            "telephone_number": "509-626-1909",
            "fax_number": "505-270-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILL",
        "first_name": "SHARYL",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LP00012610",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00012610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Isabel Diaz Madrigal, RN, BSN
• Merridy R. Dickey, LICSW
• Rebekah Dickman, M.D.
• Carrie S Diede, M.S., CCC-SLP
• Jill Kathleen Diego, RN
• Moustapha Dimachk, M.D.
• Laura Marie Dixson, MSW, LICSW
• DNS Group LLC
• Dorothy Doebler, MED
• Donald C. Bassham D.D.S. P.S.

• Licensed Practical Nurse in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.