DIANDRA BRIGETTE KISSACK
NPI 1205395688
Student in an Organized Health Care Education/Training Program in Spokane Valley, WA

Active since March 15, 2019
721 N PINES RD, SPOKANE VALLEY, WA 99206(509) 892-1100 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Diandra Brigette Kissack NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANDRA BRIGETTE KISSACK (NPI 1205395688) is an individual student in an organized health care education/training program in Spokane Valley, Washington and active in the NPI registry since March 2019. She maintains a secondary practice location in Greenacres.

NPPES Registry Identity

NPI1205395688
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDIANDRA BRIGETTE KISSACK
Location Address721 N PINES RDSpokane Valley, WA 99206-5225
Mailing Address721 S Henry RdGreenacres, WA 99016-9617 · (509) 953-2928
Sole ProprietorNo
Enumeration DateMarch 15, 2019
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
NPI 1205395688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedMassage TherapistTaxonomy 225700000X
721 N PINES RD, Spokane Valley, WA 99206

Secondary Practice Location 1

Location 1721 S Henry RdGreenacres, WA 99016-9617 · Phone (509) 953-2928

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
721 N PINES RD
SPOKANE VALLEY, WA 99206
Student in an Organized Health Care Education/Training Program
721 N PINES RD
SPOKANE VALLEY, WA 99206
Counselor (Mental Health)
721 N PINES RD
SPOKANE VALLEY, WA 99206
Marriage & Family Therapist
721 N PINES RD
SPOKANE VALLEY, WA 99206
Social Worker (Clinical)
721 N PINES RD
SPOKANE VALLEY, WA 99206
Counselor (Mental Health)
721 N PINES RD
SPOKANE VALLEY, WA 99206
Dentist (General Practice)
721 N PINES RD, SUITE 101
SPOKANE VALLEY, WA 99206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diandra Kissack's NPI number?

The NPI number for Diandra Kissack is 1205395688. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Diandra Kissack located?

Diandra Kissack practices at 721 N Pines Rd, Spokane Valley, WA 99206. The listed phone number is (509) 892-1100.

What is Diandra Kissack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Diandra Kissack was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.