Diane M Henry, RN,CNOR,CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

025801RN00071286 Issued in WA

Practice address

3816 48TH Ave NE
Tacoma, WA 98422-2472

Phone

(253) 925-5194

NPI assigned

Jan 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Diane M Olsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821144023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3544",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980633544",
            "telephone_number": "253-925-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 48TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222472",
            "telephone_number": "253-925-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "RN,CNOR,CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "025801RN00071286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "158254100000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0102455",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004332558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "OLSEN",
            "middle_name": "M",
            "credential": "RN,CNOR,CRNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Joline Henricksen, LMP
• Russ Patrick Henriet, DO
• Tanya Piilani Henriques, MPH, LSW, CSAC, CHES
• Christopher Patrick Henry, MD
• Crescent Arlene Henry, RD, MS, CSSD
• Holly L Henry
• Jenna Marie Henry, PHARMD
• Kathryn Henry, BEHAVIORAL HEALTH
• Kellee Henry, RN
• Melvin L Henry, MD

• Registered Nurse First Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.