Active NPI
Diana Lynn Stone-Poore, MSN, ARNP
- Primary Care Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1942387550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP30003405
- Practice address
- 33501 1St Way S
Federal Way, WA 98003-6208 - Phone
- (253) 874-1638
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | AP30003405 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP30003405 | WA | Primary |
Addresses
Primary practice location
33501 1St Way S
Federal Way, WA 98003-6208
Mailing address
32913 49TH PL SW
Federal Way, WA 98023-3326
Phone (253) 815-0104
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| US5792716 | Other | WA | AETNA SPECIALIST PIN VM |
| 3076ST | Other | WA | BLUE SHIELD # |
| 9613498 | Medicaid | WA | |
| P00394684 | Other | WA | RAILROAD MC # VM |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30003405 | WA | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- diana.stone-poore@direct.vmmc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211068800000",
"number": "1942387550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32913 49TH PL SW",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233326",
"telephone_number": "253-815-0104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33501 1ST WAY S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036208",
"telephone_number": "253-874-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE-POORE",
"first_name": "DIANA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "MSN, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2008-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "AP30003405",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP30003405",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SPECIALIST PIN VM",
"identifier": "US5792716",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD #",
"identifier": "3076ST",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9613498",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MC # VM",
"identifier": "P00394684",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.