Individual provider Active NPI

Diane Marie Trepanier, ARNP

  • Gerontology Nurse Practitioner
  • Coupeville, WA
National Provider Identifier
1811498199
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP30001808 Issued in WA
Practice address
311 NE 3Rd St
Coupeville, WA 98239-3427
Phone
(360) 678-2273
Fax
(360) 678-8715
NPI assigned
Feb 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP30001808 WA Primary

Addresses

Primary practice location

311 NE 3Rd St
Coupeville, WA 98239-3427

Mailing address

639 Beacon View Dr
Oak Harbor, WA 98277-7704
Phone (360) 672-2751

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
AP30001808WAMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1811498199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 BEACON VIEW DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982777704",
            "telephone_number": "360-672-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 3RD ST",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982393427",
            "telephone_number": "360-678-2273",
            "fax_number": "360-678-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREPANIER",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30001808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.