Individual provider Active NPI

Meloney Diane Evans, LPN

  • Licensed Practical Nurse
  • Tumwater, WA
National Provider Identifier
1902377278
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LP60845980 Issued in WA
Practice address
7741 Littlerock Rd. SW
Tumwater, WA 98512
Phone
(360) 709-7896
Fax
(360) 709-7802
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN253289 CA
Licensed Practical Nurse 164W00000X LP60845980 WA Primary

Addresses

Primary practice location

7741 Littlerock Rd. SW
Tumwater, WA 98512

Mailing address

7741 Littlerock Rd. SW
Tumwater, WA 98512
Phone (360) 709-7896

Other names 1

  • Mrs. Meloney Diane Turpen 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LP60845980WAMDLicensed Practical Nurse
VN253289CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1902377278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7741 LITTLEROCK RD. SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-709-7896",
            "fax_number": "360-709-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7741 LITTLEROCK RD. SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "98512",
            "telephone_number": "360-709-7896",
            "fax_number": "360-709-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MELONEY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN253289",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60845980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELONEY",
            "last_name": "TURPEN",
            "middle_name": "DIANE",
            "prefix": "MRS.",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.