Dianna Fort, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

28250 Issued in SC

Practice address

111 Lovett Dr
Greenville, SC 29607-6510

Phone

(801) 869-4100

NPI assigned

Jan 10, 2024

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Palmetto Infusion Services LLCGroup PAC ID 4688578826, 60 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Infusion Services LLC

  dba Palmetto Infusion Services

  • Infusion Therapy Clinic/Center
  • West Columbia, SC
  • NPI 1265462659

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Welscare of South Carolina, LLC

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1679250146

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1598536310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 PARK TER",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293698307",
            "telephone_number": "757-952-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LOVETT DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076510",
            "telephone_number": "801-869-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORT",
        "first_name": "DIANNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "28250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dandridge Forrester, MD
• Ryan Taylor Forrester, M.D.
• Simon Blaine Forrester, CRNA
• Carl Gunnar Forsberg, M.D.
• David Andrew Forstein, D.O.
• Fortenberry Counseling and Consulting Services, LLC.
• Tayla Fortenberry, MA, ED.S, LPC
• Tandi W. Fortier, NP
• Nichole Susanna Fortin, PA
• Fortis Physical Therapy and Pelvic Health

• Nurse Practitioner in Greenville, SC
• Providers in Greenville, SC by specialty
• Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.