Northwest Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHWEST DIABETIC SUPPLY

Practice address

24102 S Boston Rd
Cheney, WA 99004-8958

Phone

(509) 239-4590

Fax

(509) 239-4591

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Catherine Marie Peterson

Title

President

Phone

(509) 239-4590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992845739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24102 S BOSTON RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990048958",
            "telephone_number": "509-239-4590",
            "fax_number": "509-239-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24102 S BOSTON RD",
            "city": "CHENEY",
            "state": "WA",
            "postal_code": "990048958",
            "telephone_number": "509-239-4590",
            "fax_number": "509-239-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-239-4590",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Murphy
• Kevin Riley Murphy, LICSW MSW MHP CCTP
• Natalia L Navarro
• Scott E Nelson, DPT
• Venessa Nersten, ATC
• Brian Norton, A.T.C.
• Melissa A Norton, PA-C
• Michael Ochi, PSYD
• Michael Scott Oliver, DPT
• Jennifer Lynn Omlin, SLP

• Durable Medical Equipment & Medical Supplies in Cheney, WA
• Providers in Cheney, WA by specialty
• Durable Medical Equipment & Medical Supplies in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.