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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY DIANE BACKSTROM RN
NPI 1568444628
Registered Nurse - Diabetes Educator in Colville, WA

Active since November 15, 2005
1200 E COLUMBIA AVE, COLVILLE, WA 99114(509) 684-3701(509) 684-5817 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Diane Backstrom Rn NPPES

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

MARY DIANE BACKSTROM RN (NPI 1568444628) is an individual diabetes educator provider in Colville, Washington, licensed in Washington (RN00130472) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1568444628
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameMARY DIANE BACKSTROMCredential: RN
Location Address1200 E COLUMBIA AVEColville, WA 99114-3354
Mailing Address1200 E Columbia AveColville, WA 99114-3354 · (509) 684-3701 · Fax (509) 684-5817
Phone(509) 684-3701
Fax(509) 684-5817
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1568444628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in WA · RN00130472
1200 E COLUMBIA AVE, Colville, WA 99114
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Other Names 1

Former Name (1)Mary Diane Thresher

Other Providers at the Same Location NPPES 20

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

TANUJA MARION EDVALSON M.D.
Family Medicine
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-3701
COLVILLE MEDICAL CENTER PS
Clinic/Center (Rural Health)
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-3701
COLVILLE MEDICAL CENTER PS
Clinic/Center (Rural Health)
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-3701
CARL JOSEPH STEVENS RPH
Pharmacist
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 685-5892
COLVILLE MEDICAL CENTER
Pharmacy (Clinic Pharmacy)
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-7727
JULIE MARIE KASCHMITTER PHARMD
Pharmacist
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-7727
JAMES DONALD STEWART RPH
Pharmacist
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-7727
MRS. BARBARA A WOS ELLEDGE ARNP FNP
Nurse Practitioner (Family)
1200 E COLUMBIA AVE
COLVILLE, WA 99114
Stevens County (509) 684-3701

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 Mary Backstrom's NPI number?

The NPI number for Mary Backstrom is 1568444628. It was assigned to this individual provider in the NPPES registry on November 15, 2005. The provider is also known as Mary Diane Thresher.

Where is Mary Backstrom located?

Mary Backstrom practices at 1200 E Columbia Ave, Colville, WA 99114. The listed phone number is (509) 684-3701.

What is Mary Backstrom's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Mary Backstrom was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.