Provider Demographics
NPI:1023788007
Name:THOMPSON, DIANA WESTCOTT (NP)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:WESTCOTT
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:ELIZABETH
Other - Last Name:WESTCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2535 S DOWNING STREET
Mailing Address - Street 2:SUITE 380
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-778-5716
Mailing Address - Fax:303-778-5205
Practice Address - Street 1:2535 S DOWNING STREET
Practice Address - Street 2:SUITE 380
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-778-5716
Practice Address - Fax:303-778-5205
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-20
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0996866-NP363L00000X
CO0996866363LA2100X
COAPN0996866363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO4587054515Medicaid