Individual provider Active NPI

Diane Norrby, P.A.

  • Family Health Clinical Nurse Specialist
  • Memphis, TN
National Provider Identifier
1366467979
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
134386 Issued in CA
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

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HSP40248FMedicaidCA

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

LicenseStateTypeSpecialty
PA11807CAMDMedical 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.

Verify at the official NPI Registry.