Active NPI
Diana Diamond, LMT
- Mechanotherapist
- Mill Creek, WA
National Provider Identifier
1710425418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA 00013958
- Practice address
- 13307 28TH Ave SE
Mill Creek, WA 98012-4641 - Phone
- (425) 320-6808
- NPI assigned
- Feb 2, 2017
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA 00013958 | WA | Primary |
Addresses
Primary practice location
13307 28TH Ave SE
Mill Creek, WA 98012-4641
Mailing address
13307 28TH Ave SE
Mill Creek, WA 98012-4641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 00013958 | WA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1710425418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13307 28TH AVE SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980124641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13307 28TH AVE SE",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980124641",
"telephone_number": "425-320-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "DIANA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-02",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WA",
"license": "MA 00013958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.