Individual provider Active NPI

Diane Louise Paulson

  • Continuing Education/Staff Development Registered Nurse
  • Vancouver, WA
National Provider Identifier
1730711649
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
RN00107018 Issued in WA
Practice address
7200 NE 41St St Ste 206
Vancouver, WA 98662-6778
Phone
(360) 258-1838
Fax
(206) 339-5739
NPI assigned
Feb 8, 2020
Last updated
Feb 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Continuing Education/Staff Development Registered Nurse 163WC1600X RN00107018 WA Primary

Addresses

Primary practice location

7200 NE 41St St Ste 206
Vancouver, WA 98662-6778

Mailing address

7200 NE 41St St Ste 206
Vancouver, WA 98662-6778
Phone (360) 258-1838

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

LicenseStateTypeSpecialty
RN00107018WAMDContinuing Education/Staff Development Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Education CurrentSince Mar 22, 2020 Accepting new patients

Locations

7200 NE 41st St
Ste 206
Vancouver, WA 98662
Phone (360) 258-1838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1730711649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 NE 41ST ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626778",
            "telephone_number": "360-258-1838",
            "fax_number": "206-339-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 NE 41ST ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626778",
            "telephone_number": "360-258-1838",
            "fax_number": "206-339-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-08",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "WA",
            "license": "RN00107018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2020; 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.