Cougarstyle LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

COUGARSTYLE LLC

Doing business as

Columbia Gorge LipoMelt

Practice address

802 W 6TH St # 100
The Dalles, OR 97058-1102

Phone

(541) 705-5860

NPI assigned

Aug 8, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Diane Lynn Wanous, LPNNPI 1457034597

Title

LPN/Owner/Operator

Phone

(541) 705-5860

Specialties & licenses 1

Addresses

Other names 1

• Columbia Gorge LipoMelt Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Lynn Wanous, LPN

  • Licensed Practical Nurse
  • The Dalles, OR
  • NPI 1457034597
  NPD Authorized official

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1902589856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W 6TH ST # 100",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581102",
            "telephone_number": "541-705-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W 6TH ST # 100",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581102",
            "telephone_number": "541-705-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUGARSTYLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "WANOUS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LPN/OWNER/OPERATOR",
        "authorized_official_telephone_number": "541-705-5860",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Gorge LipoMelt",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Correia Herrera
• Ronda Corriell
• Antoinette Corson
• Janet Couch, RPH
• Lindsay K Couch, CCC-SLP
• Nicole Marie Cowart, CFM
• Courtney Bianca Cox
• Holly Ann Cox, PT
• Becci B Crane
• Crescent Wound Care Inc

• Licensed Practical Nurse in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.