Individual provider Active NPI

Diana Houle, P.A.

  • Physician Assistant
  • Goodyear, AZ
National Provider Identifier
1992815450
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7813 Issued in AZ
Practice address
16430 W Yuma Rd
Goodyear, AZ 85338-3102
Phone
(623) 465-6405
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7813 AZ Primary

Addresses

Primary practice location

16430 W Yuma Rd
Goodyear, AZ 85338-3102

Mailing address

16947 W Cambridge Ave
Goodyear, AZ 85395-1926
Phone (623) 215-8140

Other identifiers 2

IdentifierTypeStateIssuer
084679MedicaidAZ
970013900OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908003426 AZ Practitioner - Physician Assistant 3375727597 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7813AZMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Feb 9, 2021 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Oct 19, 2020 Accepting new patients
Bisbee Hospital Association CurrentSince Feb 9, 2021 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Oct 19, 2020 Accepting new patients
Tidewater Emergency Medical Care Physician Assistant PastSince Feb 2, 2020 Accepting new patients

Locations (25 of 46)

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1955 W Guadalupe Rd
Ste 1
Mesa, AZ 85202
Phone (480) 207-2990

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1992815450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16947 W CAMBRIDGE AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951926",
            "telephone_number": "623-215-8140",
            "fax_number": "757-490-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16430 W YUMA RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383102",
            "telephone_number": "623-465-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOULE",
        "first_name": "DIANA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084679",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "970013900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.