Individual provider Active NPI

Diana J.V. Franklin, RD

  • Renal Nutrition Registered Dietitian
  • Aiea, HI
National Provider Identifier
1760635601
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
808310 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 420
CKD Services of Pearlridge
Aiea, HI 96701-4702
Phone
(808) 440-4893
Fax
(808) 440-4885
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 808310 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 420
CKD Services of Pearlridge
Aiea, HI 96701-4702

Mailing address

98-1005 Moanalua Rd SPC 420
CKD Services of Pearlridge
Aiea, HI 96701-4702
Phone (808) 440-4893

Other identifiers 1

IdentifierTypeStateIssuer
AZ366ZOtherHIPROVIDER TRANSACTION ACCESS NUMBER (PTAN)

Other names 1

  • Miss Diana J Valle Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
808310HIMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1760635601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 420",
            "address_2": "CKD SERVICES OF PEARLRIDGE",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014702",
            "telephone_number": "808-440-4893",
            "fax_number": "808-440-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 420",
            "address_2": "CKD SERVICES OF PEARLRIDGE",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014702",
            "telephone_number": "808-440-4893",
            "fax_number": "808-440-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "DIANA",
        "middle_name": "J.V.",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "HI",
            "license": "808310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION ACCESS NUMBER (PTAN)",
            "identifier": "AZ366Z",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "VALLE",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.