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DIANE RAE NIELSEN PA C
NPI 1205940962
Pediatrics in Idaho Falls, ID

Active since August 19, 2006
3430 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404(208) 523-3060(208) 523-0028 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Rae Nielsen Pa C NPPES

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

DIANE RAE NIELSEN PA C (NPI 1205940962) is an individual pediatrics provider in Idaho Falls, Idaho, licensed in Idaho (PA178) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205940962
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDIANE RAE NIELSENCredential: PA C
Location Address3430 WASHINGTON PARKWAYIdaho Falls, ID 83404
Mailing Address3430 Washington ParkwayIdaho Falls, ID 83404 · (208) 523-3060 · Fax (208) 523-0028
Phone(208) 523-3060
Fax(208) 523-0028
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1205940962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ID · PA178
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3430 WASHINGTON PARKWAY, Idaho Falls, ID 83404
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Other Identifiers 3

Medicaid004378700ID
OtherPAKY2ID · Blue Cross
Other000010016257ID · Blue Shield

Other Providers at the Same Location NPPES 2

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

ERIC PETER OLSON MD
Pediatrics
3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3060
GEORGE HOLBROOK GROBERG MD
Pediatrics
3430 WASHINGTON PARKWAY
IDAHO FALLS, ID 83404
Bonneville County (208) 523-3060

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 Diane Nielsen's NPI number?

The NPI number for Diane Nielsen is 1205940962. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Diane Nielsen located?

Diane Nielsen practices at 3430 Washington Parkway, Idaho Falls, ID 83404. The listed phone number is (208) 523-3060.

What is Diane Nielsen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Diane Nielsen was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.