Individual provider Active NPI

Miss-Din Mesame Dipoko, ARNP

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1891692109
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP70171984 Issued in WA
Practice address
3101 14TH Ave NW
Puyallup, WA 98371-3465
Phone
(206) 765-7386
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP70171984 WA Primary

Addresses

Primary practice location

3101 14TH Ave NW
Puyallup, WA 98371-3465

Mailing address

3101 14TH Ave NW
Puyallup, WA 98371-3465
Phone (206) 765-7386

Other names 1

  • Dipoko Miss-Din Mesame Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1891692109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 14TH AVE NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983713465",
            "telephone_number": "206-765-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 14TH AVE NW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983713465",
            "telephone_number": "206-765-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPOKO",
        "first_name": "MISS-DIN",
        "middle_name": "MESAME",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70171984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIPOKO MISS-DIN",
            "last_name": "MESAME",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.