Active NPI
Diane Norrby, P.A.
- Family Health Clinical Nurse Specialist
- Memphis, TN
National Provider Identifier
1366467979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 134386
- Practice address
- 3150 Lenox Park Blvd Ste 214
Memphis, TN 38115-4396 - Phone
- (901) 273-2368
- Fax
- (901) 273-2351
- NPI assigned
- Jul 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA11807 | CA | |
| Family Health Clinical Nurse Specialist | 364SF0001X | 134386 | CA | Primary |
Addresses
Primary practice location
3150 Lenox Park Blvd Ste 214
Memphis, TN 38115-4396
Mailing address
31325 Via la Naranga
Carmel Valley, CA 93924-9614
Phone (831) 659-3284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSP40248F | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA11807 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1366467979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31325 VIA LA NARANGA",
"city": "CARMEL VALLEY",
"state": "CA",
"postal_code": "939249614",
"telephone_number": "831-659-3284",
"fax_number": "831-659-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 LENOX PARK BLVD STE 214",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154396",
"telephone_number": "901-273-2368",
"fax_number": "901-273-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORRBY",
"first_name": "DIANE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA11807",
"primary": false
},
{
"code": "364SF0001X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Family Health",
"state": "CA",
"license": "134386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSP40248F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.