DIANE R RUSSELL (NPI# 1457994089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457994089 |
| Entity Type | Individual |
| Full Name | DIANE R RUSSELL |
| Credential | FNP |
| Practice Address |
1160 E 3900 S Ste 2000 Salt Lake City UT 84124-1236 |
| Mailing Address |
Po Box 741729 Atlanta GA 30374-1729 |
| Practice Telephone | 8012663418 |
| Practice Fax Number | 8012664174 |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5648785-4405 | UT | Allopathic & Osteopathic Physicians |
| Y | 363L00000X | Nurse Practitioner | 5648785-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144660218 | Diane Marie Russell | Durable Medical Equipment & Medical Supplies | 2344 Lockport Olcott Rd, Newfane, NY 14108-9510 | 2013-07-03 |
| 1518084300 | Diane L Russell | Acupuncturist | 19007 Ne Davis Rd, Brush Prairie, WA 98606-8756 | 2007-03-25 |
| 1821439522 | Diane L. Russell | Pharmacist | 405 N Main St, Kenton, OH 43326-1375 | 2013-07-10 |
| 1003093055 | Diane Mary Russell | Counselor | 4699 N 21st St, Ozark, MO 65721-7684 | 2008-01-22 |
| 1629117213 | Diane Lynn Russell | Registered Nurse | 5893 Camp Rd, Suite 1, Hamburg, NY 14075-4737 | 2007-02-06 |
| 1245380781 | Diane Gail Russell | Social Worker | 25869 Kelly Rd, Suite A, Roseville, MI 48066-4997 | 2007-01-10 |
| Street Address |
1160 E 3900 S STE 2000 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811965122 | John D Day | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2006-03-11 |
| 1639738545 | Elizabeth Eve Potter | Nurse Practitioner | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2019-06-13 |
| 1326528779 | Sarah Lyn Wagstaff | Nurse Practitioner | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2018-08-15 |
| 1356634869 | Andrew Charles Behunin | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2011-05-17 |
| 1538390869 | Poorna Lingeswari Nalabothu | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2009-08-04 |
| 1992967335 | Nischala Nannapaneni | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2008-06-26 |
| 1255591194 | Vamsee Mohan Yaganti | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2008-06-13 |
| 1447373576 | Chi-gang Yen | Internal Medicine | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2007-04-06 |
| 1770661712 | James A Rasmussen | Specialist | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085019 | Hillary Price | Nurse Practitioner | 30 N Medical Drive, Salt Lake City, UT 84132-0001 | 2020-02-21 |
| 1467093328 | Tessa Rachel Curtis | Nurse Practitioner | 1160 E 3900 S Ste 3100, Salt Lake City, UT 84124-1202 | 2019-10-02 |
| 1033773544 | Marathon Health, LLC | Nurse Practitioner | 1930 S State St, Salt Lake City, UT 84115-2311 | 2019-04-30 |
| 1912488347 | Wendy Jane Frey | Nurse Practitioner | 3490 E Hermes Dr, Salt Lake City, UT 84124-3211 | 2018-08-23 |
| 1851813299 | Wayne Berg | Nurse Practitioner | 1060 E 100 S Ste 110, Salt Lake City, UT 84102-1591 | 2017-07-07 |
| 1982051785 | Patricia M Starks | Nurse Practitioner | 2678 S Glenmare St, Salt Lake City, UT 84106-3606 | 2016-05-21 |
| 1215392287 | Chad Dorman Dansie | Nurse Practitioner | 200 N Mario Capecchi Dr, Salt Lake City, UT 84132-0001 | 2015-12-17 |
| 1346642121 | Randi Moore Hollis | Nurse Practitioner | 1220 E 3900 S Ste 1f, Salt Lake City, UT 84124-1327 | 2014-09-23 |
| 1699049866 | Keri Page | Nurse Practitioner | 100 Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2012-03-05 |
| 1710267877 | Trudy L. Hardin-reynolds | Nurse Practitioner | 825 Northcrest Dr, Salt Lake City, UT 84103-3320 | 2011-08-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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| 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.