Organization Active NPI

Diana Kraemer MD PLLC

  • Specialist
  • Renton, WA
National Provider Identifier
1720210982
Registry record updated Aug 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00029598 Issued in WA
Legal business name
DIANA KRAEMER MD PLLC
Practice address
4300 Talbot Rd S
Suite 315
Renton, WA 98055-6238
Phone
(425) 572-5447
Fax
(425) 572-5449
NPI assigned
Aug 20, 2009
Last updated
Aug 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2009

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

Authorized official

Name
Diana Kraemer, MD
Title
Owner
Phone
(425) 572-5447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00029598 WA Primary

Addresses

Primary practice location

4300 Talbot Rd S
Suite 315
Renton, WA 98055-6238

Mailing address

PO Box 13684
Seattle, WA 98198-1010
Phone (206) 592-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1720210982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981981010",
            "telephone_number": "206-592-5000",
            "fax_number": "206-824-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 TALBOT RD S",
            "address_2": "SUITE 315",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556238",
            "telephone_number": "425-572-5447",
            "fax_number": "425-572-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA KRAEMER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "KRAEMER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-572-5447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00029598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.