Krista Lynn Dahl, MA60137540

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

MA60137540 Issued in WA

Practice address

5500 NE 109TH CT
Vancouver, WA 98662-6176

Phone

(360) 828-5411

NPI assigned

Jan 31, 2013

Last updated

Jan 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1932448693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626176",
            "telephone_number": "360-828-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626176",
            "telephone_number": "360-828-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "MA60137540",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "MA60137540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Alison Da Silva Bhatia, MD
• Constance Sue Dada, RN
• Aliakbar Rashid Dadla, M.D.
• Amy Dahl, LMT
• Ashley Dahl, MSW
• Gaylen Dahle, RPH
• Eric N Dahlen, DMD
• Vicki Lynn Dahlgren
• Dahlia Wellness LLC
• Tiffany Daiber

• Community Health Worker in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.