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DIANA JAZMIN BETANCOURT MS, LAT, ATC
NPI 1669188165
Emergency Medicine - Sports Medicine in Riverside, MO

Active since January 27, 2023
1 TEAL RISING WAY, RIVERSIDE, MO 64150(714) 791-3647 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Jan 27, 2023 (2 updates tracked since 2023).

About Diana Jazmin Betancourt Ms, Lat, Atc NPPES

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

DIANA JAZMIN BETANCOURT MS, LAT, ATC (NPI 1669188165) is an individual sports medicine provider in Riverside, Missouri, licensed in Missouri (2024030608) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1669188165
Entity TypeIndividualFemale
Primary Taxonomy207PS0010X
Provider Legal NameDIANA JAZMIN BETANCOURTCredential: MS, LAT, ATC
Location Address1 TEAL RISING WAYRiverside, MO 64150-7700
Mailing Address1 Teal Rising WayRiverside, MO 64150-7700 · (714) 791-3647
Phone(714) 791-3647
Sole ProprietorNo
Enumeration DateJanuary 27, 2023
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1669188165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in MO · 2024030608
Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 24-01780 (KS)
1 TEAL RISING WAY, Riverside, MO 64150
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Other Identifiers 1

Medicaid000000000000000000KS

Other Providers at the Same Location NPPES

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

TRISHA EVANS LAT, ATC
Specialist/Technologist (Athletic Trainer)
1 TEAL RISING WAY
RIVERSIDE, MO 64150
Platte County (402) 879-8908

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 Diana Betancourt's NPI number?

The NPI number for Diana Betancourt is 1669188165. It was assigned to this individual provider in the NPPES registry on January 27, 2023.

Where is Diana Betancourt located?

Diana Betancourt practices at 1 Teal Rising Way, Riverside, MO 64150. The listed phone number is (714) 791-3647.

What is Diana Betancourt's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Diana Betancourt was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.