Diane E Brill, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA913 Issued in NV

Practice address

247 Bluffs Ave
BLDG 1
Elko, NV 89801-2455

Phone

(775) 753-1049

Fax

(775) 777-8494

NPI assigned

Dec 21, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premise Health of Nevada Medical Hinitt PC

  dba Premise Health Wellness Center-Las Vegas

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1649977067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285798439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156155",
            "telephone_number": "615-565-1733",
            "fax_number": "615-296-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BLUFFS AVE",
            "address_2": "BLDG 1",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012455",
            "telephone_number": "775-753-1049",
            "fax_number": "775-777-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILL",
        "first_name": "DIANE",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad S Burlew Cardiology a Professional Corporation (Elko Cardiology Associates)
• Sierra Bradeen
• Braden Partners LP (Pacific Pulmonary Services)
• Bridges Health & Wellness
• Brightpath Adult Day Services, Inc. (BrightPath Adult Enrichment Center)
• Lindsey Shiona Brill
• Janice M Brizee Johnston, LCSW
• David Lawrence Brizzee, D.D.S.
• Kelli Brough
• Alfred Jerry Brown, MD

• Physician Assistant in Elko, NV
• Providers in Elko, NV by specialty
• Physician Assistant in Nevada

• 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.

Verify at the official NPI Registry.