Diane Smith, APRN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8775403-4405 Issued in UT

Practice address

10648 S Rembrandt LN
Sandy, UT 84070-5224

Phone

(435) 313-3142

Fax

(801) 705-0118

NPI assigned

Mar 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Riverwood Spine & Pain, LLC

  • Pain Medicine Physician
  • Orem, UT
  • NPI 1881395085
  Medicare reassignment NPD
• Smith'S Pain Management

  • Pain Clinic/Center
  • Sandy, UT
  • NPI 1154144459
  NPD Authorized official
• Nevada Surgical Specialists LLC

  • Orthopaedic Hand Surgery Physician
  • Las Vegas, NV
  • NPI 1437331014
  NPD (past)

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1508250580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BERTHA HOWE AVE",
            "address_2": "SUITE 1",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277502",
            "telephone_number": "702-346-0800",
            "fax_number": "702-346-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10648 S REMBRANDT LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705224",
            "telephone_number": "435-313-3142",
            "fax_number": "801-705-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN001916",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "8775403-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Dental Care LLC
• Barbara Smith-Holmen, N.P.
• Andrew Smith, MD
• Bernadette Smith, APC
• Brett Smith
• Faisa Aden Smith, NURSE PRACTITIONER
• Janice Smith, BCBA
• Katharine Roberta Smith, DVM
• Kevin Leigh Smith, PT, ATC
• Lane Farr Smith, M.D.

• Nurse Practitioner in Sandy, UT
• Providers in Sandy, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.