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DIANNA M KALLIS ARNP
NPI 1679583702
Nurse Practitioner in Yakima, WA

Active since August 09, 2006
611 N 39TH AVE, YAKIMA, WA 98902(509) 249-1288(509) 249-6249 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dianna M Kallis Arnp NPPES

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

DIANNA M KALLIS ARNP (NPI 1679583702) is an individual nurse practitioner in Yakima, Washington, licensed in Washington (RN00048090) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1679583702
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDIANNA M KALLISCredential: ARNP
Location Address611 N 39TH AVEYakima, WA 98902-6348
Mailing Address611 N 39th AveYakima, WA 98902 · (509) 249-1288 · Fax (509) 249-6249
Phone(509) 249-1288
Fax(509) 249-6249
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1679583702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in WA · RN00048090✔ Licensed in WA · AP30004094
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
611 N 39TH AVE, Yakima, WA 98902
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Other Identifiers 3

Medicare UPINQ40214
Medicare ID-Type Unspecified8852293WA
Medicaid9643420WA

Other Providers at the Same Location NPPES 6

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

MRS. RAYLEE SUSAN WEAVER-JENSEN PA-C
Physician Assistant
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288
QUALITY CARE MEDICAL CLINIC,LLC
Family Medicine
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288
BONNIE LOUISE KULTGEN ARNP
Nurse Practitioner
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288
DR. ANATOLE S KIM MD
Internal Medicine (Cardiovascular Disease)
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288
DR. JOHN W LYZANCHUK DO
Family Medicine
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288
MARK A MAIOCCO MD
Family Medicine
611 N 39TH AVE
YAKIMA, WA 98902
Yakima County (509) 249-1288

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 Dianna Kallis's NPI number?

The NPI number for Dianna Kallis is 1679583702. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Dianna Kallis located?

Dianna Kallis practices at 611 N 39th Ave, Yakima, WA 98902. The listed phone number is (509) 249-1288.

What is Dianna Kallis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dianna Kallis was last updated on February 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.