Healthcare Provider Details

I. General information

NPI: 1225234875
Provider Name (Legal Business Name): DIANNE BEHME CARLSON APRN CLINICAL NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 WISCONSIN AVE NW SUITE 2
WASHINGTON DC
20015
US

IV. Provider business mailing address

5808 NEVADA AVE NW
WASHINGTON DC
20015
US

V. Phone/Fax

Practice location:
  • Phone: 202-256-3601
  • Fax:
Mailing address:
  • Phone: 202-363-4398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN26607
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN26607
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: