MS. DIANE MOSKOWITZ KEANEY (NPI# 1225277791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225277791 |
| Entity Type | Individual |
| Full Name | MS. DIANE MOSKOWITZ KEANEY |
| Credential | RN, MSN, ACHPN |
| Practice Address |
3 Harbor Dr Suite 115 Sausalito CA 94965-1454 |
| Mailing Address |
1050 Northgate Dr Ste 410 San Rafael CA 94903-2584 |
| Practice Telephone | 4153800480 |
| Mailing Telephone | 4153800480 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2018-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
370895 | CA | Nursing Service Providers |
| Y | 364S00000X | Clinical Nurse Specialist | 3017 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3 HARBOR DR SUITE 115 |
| City | SAUSALITO |
| State | CA |
| Zip Code | 94965-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366510489 | Michael Harvey Moskowitz | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1437774320 | Ulyses Radam Reamico | Nurse Practitioner | 3 Harbor Dr, Sausalito, CA 94965-1454 | 2020-06-16 |
| 1225424138 | Sierra Smith | Dietitian, Registered | 3 Harbor Dr, Unit 110, Sausalito, CA 94965-1454 | 2015-04-08 |
| 1326170374 | Bay Area Pain Medical Associates | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2007-03-12 |
| 1558439653 | Robert H Hines Jr. | Psychiatry & Neurology | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| 1316015381 | Moira Opalka | Nurse Practitioner | 3 Harbor Dr, Suite 115, Sausalito, CA 94965-1454 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369423 | Claire Myers | Counselor | 630 Drake Avenue, Csd Building, Marin City, CA 94965 | 2019-07-24 |
| 1750624797 | 10 Minute Fitness Inc. | Durable Medical Equipment & Medical Supplies | 3 Harbor Dr. #112, Sausalito, CA 94965 | 2013-03-28 |
| 1548590169 | Jeffrey James Kacirk | Chiropractor | 80 Harrison Ave, #6, Sausalito, CA 94965 | 2010-01-04 |
| 1922213305 | Patrick Hammill Lee | Dentist | 107 Caledonia Street, Suite I, Sausalito, CA 94965 | 2007-05-11 |
| 1811020688 | Parvaneh Bairami | Registered Nurse | 2400 Bridgeway, Suite 200, Sasaulito, CA 94965 | 2007-03-13 |
| 1518027671 | Helen Chandler | Registered Nurse | 13 Braun Court, Sausalito, CA 94965 | 2006-12-11 |
| 1407916224 | Marcus H Small | Marriage & Family Therapist | 639 Drake Ave., Marin City, CA 94965 | 2006-12-11 |
| 1710068085 | Aida C Miles | Dietitian, Registered | 7 Cloudview Trail, Sausalito, CA 94965 | 2006-10-17 |
| 1942308515 | Nancy S. Hollis | Chiropractor | 3a Gate 5 Road, Sausalito, CA 94965 | 2006-09-20 |
| 1205947702 | Edwin J Zinman | Dentist | 220 Bush St, 1600, San Francisco, CA 94965 | 2006-08-31 |
| Find all providers in zip 94965 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1386243228 | Jennifer Mccoy | Clinical Nurse Specialist | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-10-21 |
| 1992311757 | Jose Chavez | Clinical Nurse Specialist | 4940 Laurel Canyon Blvd Apt 101, Valley Village, CA 91607-6007 | 2020-09-17 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. DIANE MOSKOWITZ KEANEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.