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Diana M Roy , LAC

Physician β€’ Williston, ND

Deactivated NPI 1841434180 Deactivated in NPPES Female Practitioner
Practice location in NPPES

126 W Broadway
Williston, ND 588016053

Phone: 7017749625

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of October 02, 2020; the reason is not published. The records below are historical. They do not show whether Diana Roy currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date April 30, 2009
NPI Deactivation Date October 02, 2020
NPI Active Period 2009 – 2020

Practice Location & Contact Primary Location

Practice Address

126 W Broadway

Williston, ND 588016053

Telephone 7017749625
Fax 7015724106
Organization at the Same NPPES Address or Phone
Family Recovery Home Facility NPI 1730141763

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Williston and North Dakota

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Substance Abuse Rehabilitation Facility Primary Specialty

NUCC Taxonomy Code: 324500000X

License # reported to NPPES ND 1357

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Dakota State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated October 02, 2020

NPPES lists this NPI as deactivated as of October 02, 2020; the reason is not published.

βœ…
NPI Profile Active April 30, 2009

NPI status registered as active in NPPES database

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Practice Location (Initial Record) April 30, 2009

Registered at 126 W BROADWAY, WILLISTON, ND 588016053 (Tel: 7017749625)

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Business Mailing Address (Initial Record) April 30, 2009

Registered at PO BOX 1202, 126 W BROADWAY, WILLISTON, ND 588021202 (Tel: 7017749625)

πŸ‘€
Provider Name / Credentials (Initial Record) April 30, 2009

Recorded as DIANA ROY, LAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2009

Substance Abuse Rehabilitation Facility (license number reported to NPPES: ND 1357)

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Initial NPI Registration & Enumeration April 30, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1841434180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2009
Last Update: April 30, 2009
Deactivation Date: October 02, 2020

Mailing Address

Po Box 1202, 126 W Broadway

Williston, ND 588021202

Phone: 7017749625

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.