Active NPI
Diana Fletcher, PA-C
- Physician Assistant
- Farmington, UT
National Provider Identifier
1043324551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5582820-1206
- Practice address
- 722 Shepard LN
Suite 102
Farmington, UT 84025-3845 - Phone
- (801) 447-3377
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5582820-1206 | UT | Primary |
Addresses
Primary practice location
722 Shepard LN
Suite 102
Farmington, UT 84025-3845
Mailing address
1520 Country Hills Dr
Ogden, UT 84403-2512
Phone (801) 391-1882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shepard Creek OB-GYN, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Farmington, UT
- NPI 1255570453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1043324551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 COUNTRY HILLS DR",
"city": "OGDEN",
"state": "UT",
"postal_code": "844032512",
"telephone_number": "801-391-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 SHEPARD LN",
"address_2": "SUITE 102",
"city": "FARMINGTON",
"state": "UT",
"postal_code": "840253845",
"telephone_number": "801-447-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "DIANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "5582820-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.